Matt Wynia
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mattwynia.bsky.social
Matt Wynia
@mattwynia.bsky.social
ID doc. Dad. Ethics in disasters, which is a lot lately. Professor of medicine and of public health. Posts mine, not my employer’s.
Reposted by Matt Wynia
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November 7, 2025 at 1:00 PM
“It’s frustrating because you try to reason with the patient on the risks and benefits of these alternative therapies, but you don’t want to come off as judgmental,” he said. “You have to walk this fine line.”

www.washingtonpost.com/health/2025/...
How a Joe Rogan-Mel Gibson podcast inspired Florida’s cancer research focus
Following a Joe Rogan, Mel Gibson podcast, Florida wants to study whether ivermectin could work against cancer. There is not yet evidence it would.
www.washingtonpost.com
October 21, 2025 at 1:42 PM
“The Congressional Budget Office has revised its forecast showing the [OBBA] will cost taxpayers as much as $8.8 billion — up from earlier estimates of $4.9 billion — over 10 years…”
The more we learn, the worse that bill is.
www.statnews.com/pharmalot/20...
CBO says revised cost of orphan drug exemptions will add $3.9 billion to Medicare
The Congressional Budget Office says exemptions for orphan drugs as part of Medicare price negotiations will cost taxpayers an additional $3.9 billion.
www.statnews.com
October 21, 2025 at 1:32 PM
"...mRNA COVID vaccination within 100 days of initiating a checkpoint inhibitor was associated with [~doubled] 3-year survival rates compared with no vaccination (55.8% vs 30.6%; adjusted HR 0.51, 95% CI 0.37-0.71, P<0.0001)" www.medpagetoday.com/meetingcover...
Cancer Study Links COVID Shots to Longer Survival
3-year survival twice as high with mRNA vaccine in lung cancer patients receiving immunotherapy
www.medpagetoday.com
October 20, 2025 at 10:39 PM
“A shocking amount of American emotional life revolves around our reactions to whatever it is we glimpse out there — and the ways we insist to one another that our reactions, and our realities, are the only non-delusional ones.“
www.nytimes.com/2025/10/20/m...
Are You Resigned to a World of Bad News? Or Do You Need Some ‘Cope’?
www.nytimes.com
October 20, 2025 at 1:01 PM
“Some of Symington's cancer patients curse at her for suggesting they vaccinate or wear masks to protect their weakened immune systems while undergoing chemotherapy.

"I actually had a patient's husband say, 'You only want me to mask because you're a liberal bitch.'"
www.npr.org/sections/sho...
In rural America, scarce doctors battle misinformation as they practice medicine
Conspiracy theories about health fill a vacuum created by the lack of doctors in many rural communities. Meanwhile, doctors in these areas say patients have become increasingly distrustful and sometim...
www.npr.org
October 19, 2025 at 1:52 AM
Rather than inspiring others to give more, our abrupt withdrawal of health aid is providing immoral cover for others to withdraw also. We have become a role model for lack of compassion.
www.nytimes.com/2025/10/17/h...
America’s Retreat From Aid Is Devastating Somalia’s Health System
www.nytimes.com
October 18, 2025 at 3:43 PM
RFK, Jr.: "We're doing the studies to make the proof."

That's how it works in court: seek out evidence to make your case, minimize or ignore contrary evidence.

But that's the opposite of how science works. We seek evidence to *disprove* our hypotheses.

www.medpagetoday.com/washington-w...
RFK Jr. Links Circumcision to Autism via Supposed Tylenol Use
Kennedy cited two studies, but neither offered proof of causality
www.medpagetoday.com
October 17, 2025 at 4:34 PM
Americans trust federal science agencies less now than they did at the end of last year, largely due to declining confidence among Democrats...54% now trust the CDC, down from 60% in June and 66% in December 2024.
www.ipsos.com/en-us/axios-...
Trust in public health agencies declines
New Axios/Ipsos American Health Index shows Americans across the board are looking for clearer guidance on health and wellness information
www.ipsos.com
October 17, 2025 at 1:19 PM
“China pushed more than one million people out of their homes in west-central China [25yrs ago]…for the reservoir of the Three Gorges Dam. This year, China has been installing enough solar panels every three weeks to match the power generation capacity of that dam.”
www.nytimes.com/2025/10/10/b...
Why China Built 162 Square Miles of Solar Panels on the World’s Highest Plateau
www.nytimes.com
October 16, 2025 at 12:53 AM
Fascinating and inspiring piece from David Brooks, again.

www.theatlantic.com/magazine/arc...
America Needs a Mass Movement—Now
Without one, America may sink into autocracy for decades.
www.theatlantic.com
October 15, 2025 at 12:59 AM
“the push to approve leucovorin, a generic drug that’s mainly used to alleviate side effects of cancer treatment, as an autism treatment is a sign that the U.S. is headed toward a new era of drug regulation: one where political decisions lead, and evidence follows.”
www.statnews.com/2025/10/14/f...
Inside FDA, career staffers describe how political pressure is influencing their work
Current and former FDA staff said the level of involvement of political officials in nitty-gritty regulatory matters is unprecedented.
www.statnews.com
October 14, 2025 at 2:37 PM
“Indiana Hospital Association has warned that hospitals will see "catastrophic losses" from the changes in Medicaid and other federal funding.”
www.axios.com/local/indian...
Indiana's rural hospitals can't afford "One Big Beautiful Bill"
Hospitals say that even with the $50 billion rural health fund, they won't be made whole.
www.axios.com
October 14, 2025 at 2:30 PM
“Employees were crying in her office or in the bathroom almost every day, she said, adding, “There’s just a lot of idealism that’s being crushed.”
www.nytimes.com/2025/10/13/h...
They Fought Outbreaks Worldwide. Now They’re Fighting for New Lives.
www.nytimes.com
October 13, 2025 at 1:59 PM
"I spent three nights...in federal custody...I was never told what I was charged with...had no phone call...no access to an attorney...missed my daughter’s third birthday. No explanation. No charges. No apology. One day, I was just told, “you’re free to go.”
newsletter.ofthebrave.org/p/im-a-us-ci...
I’m a US citizen and a veteran. ICE arrested me for no reason.
Jailed for three days without an explanation or ability to notify anyone, George Retes argues the only path to healing starts with the government taking accountability for its actions.
newsletter.ofthebrave.org
October 12, 2025 at 3:15 PM
"...vaccines have been: 80%-90% effective against paralytic polio, 98% effective against HPV-induced precancer, 97% effective against measles, 90%-95% effective against Hib, 100% effective against severe chickenpox..." www.statnews.com/2025/10/10/m... via @statnews.com
RFK Jr. says vaccines don’t save lives. He’s wrong
Now RFK Jr. is claiming vaccines don’t actually save lives. Here’s the math to show what he gets wrong.
www.statnews.com
October 12, 2025 at 3:10 PM
Great story on Building out the high-school to health care pipeline.

www.wsj.com/us-news/educ...
To Find Workers, Hospitals Are Training Teenagers
Health systems from Tennessee to Texas are partnering with local districts to create employee pipelines.
www.wsj.com
October 12, 2025 at 12:06 PM
“Many people who were RIFed were currently excepted staff working on emergency responses and other critical functions.” insidemedicine.substack.com/p/breaking-n...
BREAKING NEWS: CDC employees terminated in apparent Friday night massacre.
The Trump administration is using the shutdown to further weaken the our national public health infrastructure.
insidemedicine.substack.com
October 11, 2025 at 1:17 PM
“…if forces like economic collapse and war supply momentum to big social change, they don’t dictate the shape of history. Human beings, their projects and their institutions carve grooves into the future that structure the direction of change.”
www.nytimes.com/2025/10/06/o...
Opinion | How to Save the American Experiment
www.nytimes.com
October 11, 2025 at 12:39 PM
Favorite quote: “A good pan is like a trusted friend: It improves with time, instead of slowly poisoning you.”
www.nytimes.com/2025/10/08/o...
Opinion | Relax, America, There Is Life After Nonstick Pans
www.nytimes.com
October 11, 2025 at 12:23 PM
Only half of adults today trust the CDC to "provide reliable vaccine information," down from 63% last year. Democrats remain more likely than Republicans to trust the CDC, but among Democrats trust has plummeted 24 points since 2023.
www.cnn.com/2025/10/09/h...
Trust in federal health leadership is failing under RFK Jr., new poll finds | CNN
Most of the American public does not approve of the way Robert F. Kennedy Jr. is running the nation’s health agencies, according to a new KFF poll, and there’s erosion of trust in reliable vaccine inf...
www.cnn.com
October 10, 2025 at 3:47 PM
43% of Americans say they support "MAHA", but even among them, "at least three in ten MAHA supporters say they either “somewhat” or “strongly” disapprove of the way Kennedy is handling his role as HHS Secretary (30%) and U.S. vaccine policy (35%)...
www.kff.org/public-opini...
KFF Tracking Poll on Health Information and Trust: Tylenol-Autism Link and Vaccine Policies | KFF
Following the Trump administration’s warning last month that using acetaminophen – the active ingredient in Tylenol – during pregnancy can increase the risk of autism in children, very few adults say ...
www.kff.org
October 10, 2025 at 1:58 PM
“Now it’s unclear how, or if, the NIH will foster open conversations around scientific and ethical issues involving novel biotechnologies.”

www.statnews.com/2025/10/07/h...
They advised federal health agencies on the ethics and impact of scientific research. They’re no longer wanted
The Trump administration has been shedding scientific expertise and patient perspectives in the name of slimming down the federal government.
www.statnews.com
October 7, 2025 at 12:41 PM
"The CDC is now two distinct agencies—a house divided against itself. There are the career officers...Then there’s a small coterie...who control major policies...and its social media...So, now when we hear from the CDC, we have to ask “which CDC” is speaking? open.substack.com/pub/insideme...
There are now two CDC's.
Can the agency survive?
open.substack.com
October 6, 2025 at 1:59 PM
I love this: "National Guard troops could help Portland, if they rented office space."
www.nytimes.com/2025/10/04/o...
Opinion | Mr. President, May We Interest You in a Naked Bike Ride?
www.nytimes.com
October 5, 2025 at 4:10 PM