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czachary.bsky.social
Health policy advocate. Faculty at UNC Gillings
1 posts 129 followers 258 following
Prolific Poster

*whispers* shouldn't #2 be the first priority?

Why Raleigh is now giving money to residents of a former homeless camp. Raleigh pilot program will pay 45 families and individuals experiencing homelessness at least $1,450 every month to spend however they like. (Via @annamroman.bsky.social) www.newsobserver.com/news/politic... #ralpol #ncpol

Just read this graf. Share it with people you know who don’t pay attention to politics or news.

The website shows a seeker the closest clinics to them, offers information on parental consent laws for minors seeking abortion, and points toward abortion funds that can help pay for care.

The thing about the justification, "We have to do it or they will go after xyz next" is.... after you do it, they're still gonna go after xyz next.

US House budget blueprint may gut NC’s Medicaid expansion and cost billions. It includes about $880 billion in cuts over a decade to the areas overseen by the House cmte responsible for Medicaid and other health programs. (Via @lucianaperezu.bsky.social) www.newsobserver.com/news/politic... #ncpol

GOOD - MacArthur Foundation moving to emergency footing for nonprofit funding w/ increased giving, flexibility & trust www.macfound.org/press/perspe... I especially value them highlighting “flexible, trust-based models” that cover indirect costs at 29% & less onerous administrative requirements.

In a new column, KFF’s Drew Altman discusses how recent KFF focus groups with Trump voters on Medicaid show they weren’t expecting big Medicaid cuts from the Trump administration and worry about what the impact of potential cuts in federal Medicaid spending will be. 🔗: on.kff.org/3XiCBgA

If you heard someone yelling about how the House had a perfectly good solution to letting a brand new mom temporarily vote without having to fly across the country and they just got rid of it for reasons, that was me.

House Rs just passed the budget resolution, the first step in their process to enact a bill that'd kick millions off Medicaid & cut SNAP down to just $1.60 per person per meal on avg while cutting taxes for the top 0.1% by $278k - all while increasing the debt 🧵on what's to come and WHERE TO FIGHT

Under the GOP's budget resolution, millions of Americans would lose their health insurance, and ten states would automatically cancel their adoption of the Medicaid expansion due to trigger laws. www.nytimes.com/2025/02/25/u...

 This is an attack on Medicaid, & ANYONE who votes on this budget this week is voting to cut Medicaid in America, and voting to gut healthcare for Medicare recipients in America. As a recipient of Medicare and Medicaid, I PLEAD with you to call your member of Congress at 202-224-3121 & say NO CUTS!

So misleading. Budget resolution requires Energy & Commerce to come up with at least $880b/10 years in savings. If you're protecting Medicare than based on E&C's jurisdiction, most or all of the cuts have to come out of #Medicaid. The math is the math. And the cuts are then locked in moving forward!

A big reason a number of Republican House members have a large number of Medicaid enrollees in their districts: They’re in states that have expanded Medicaid under the ACA, both red and blue. www.kff.org/medicaid/iss...

And a new CCF brief on the importance of #Medicaid for children, youth & adults with mental health needs: ccf.georgetown.edu/2025/02/19/m...

A federal judge blocked Trump's sweeping executive order ending government support for DEI programs

Congressional lawmakers are facing tricky arithmetic as they hammer out a budget plan to finance Pres. Trump’s agenda. Trump has vowed not to touch the costliest gov. programs, including Medicare and Social Security. He’s been less clear about his plan for Medicaid. kffhealthnews.org/news/article...

This is an incredible loss. PRAMS (Pregnancy Risk Assessment Monitoring System) has been essential for understanding care access and outcomes in the perinatal and postpartum periods. For example, intimate partner violence before or after childbirth www.ncbi.nlm.nih.gov/pubmed/38733...

Per email obtained by @insideclimatenews.org the Trump adm has ordered General Services Admin to permanently disconnect/remove federal EV chargers at its buildings. Now workers can't charge their cars onsite, nor can the public, nor EVs in the govt fleet insideclimatenews.org/news/2102202...

How we did it: Texas Won’t Study How Its Abortion Ban Impacts Women, So We Did

New: DOGE's spending has been secret. No longer. My colleagues have uncovered it. www.propublica.org/article/doge...

Another report on moderate House GOP members opposing the #Medicaid cuts in House budget resolution. But even these members don't realize that work requirements cut spending by disenrolling people who work or should be exempt but who can't navigate onerous red tape: www.axios.com/pro/health-c...

NEW: Georgia’s governor promotes his Medicaid work requirement as a national model for reform. Yet the program has cost taxpayers $86M, three-quarters of which has gone to consultants, and enrolled less than 3% of the quarter-million Georgians eligible.

A grieving mother wonders why Medicaid debt collectors would go after the meager estates of people with severe disabilities. “What are they gaining? ... Except for kicking someone in the face right after they lost a loved one?” kffhealthnews.org/news/article...

We’re only one step away from a dude in a trenchcoat approaching you in an alley and whispering “I got eggs.”

Our two papers on abortion bans and fertility/infant mortality are now out. In 14 states w/ abortion bans, fertility increased 1.7% and infant mortality increased 6%. Key takeaway is that these impacts were disproportionately felt among those w/ greatest structural disadvantages. Links below.

The cuts to #Medicaid in the GOP House Budget pose a grave danger to the health care and civil rights of our children with complex medical needs and disabilities. www.healthaffairs.org/do/10.1377/f...

Story from 2022, but this tendency to claim that racist disparities don't 'count' because Black people don't 'count' is being operationalized in multiple ways under the current administration.

Here are the 25 institutions that receive the most NIH funding (98% of HHS is NIH). Basically, they're large schools with large hospitals. They receive 50% of all NIH funding. Source: ncses.nsf.gov/surveys/fede... (table 26) (Not going to do a whole thread but thought folks might be interested.)

The City of Asheboro is at it again, releasing toxic 1,4-Dioxane into the waterways at 2,200 and 3,500 parts per billion. For context, the health guidance for waterways is 0.35 ppb. This is the same town that sued @ncdeq saying the agency couldn't 1/2

The state health plan board voted today to allow the plan to charge state employees different premiums based on their salaries. The board will set monthly prices later this year. www.wunc.org/news/2025-02...

Research universities are often the largest employers in their region. They are often the primary health care providers to communities. This funding shift will not only reduce US research leadership, it will put working people out of work and reduce healthcare access.

1. Today the NIH director issued a new directive slashing overhead rates to 15%. I want to provide some context on what that means and why it matters. grants.nih.gov/grants/guide...

The republicans in the North Carolina State Legislature do not want our state to be able to *sue the federal government* over laws and executive orders our state deems as unconstitutional. Republicans are against our Attorney General protecting the people of our state. ⬇️

NEW YORK (AP) — A dozen states say they will file lawsuit challenging DOGE access to government payment systems containing personal data.

Community health centers are now starting to shut down across the country because of Trump’s executive orders. These centers serve 1-in-5 rural patients in America.

Medicaid is a lifeline for people with complex medical needs & disabilities – it covers therapy, medical equipment, and care at home instead of institutions. Join us: call 202-224-3121 to tell Congress #HandsOffOurMedicaid – don't cut our kids' lifeline to cover GOP tax breaks for the rich!

With discussions of #Medicaid work requirements back on the agenda through federal legislative proposals or 1115 waivers, @KFF updated our brief looking at the data: www.kff.org/medicaid/iss...

People are getting up off the mat.

NC is launching a $20 million pilot program to take law enforcement personnel out of the process of transporting mental health patients being involuntarily committed. Taylor Knopf reports ⤵️ buff.ly/4jHxz72

“You could open the funding floodgates again tomorrow and you will still have children dying months from now because of this pause,” the scientist said. 😡😡

BREAKING: CDC's top advisors demand answers and a restoration of crucial public health data. New story by me: www.statnews.com/2025/02/01/c...

The web page about section 1557, the ACA’s prohibition of discrimination based on race, color, national origin, age, disability, or sex, no longer exists. www.hhs.gov/civil-rights...

NEW: Organizations that provide vital, lifesaving care for desperate and vulnerable people around the world have been forced to halt operations, turn away patients and lay off staff. “I’ve never seen anything that scares me as much as this,” one doctor said.

It is simply not enough for universities to say, “Our grants & research offices are looking into how research will be affected by the latest directive.” University leaders must actively and very publicly make the case for the kind of work many of us do. The silence on this front is deafening.

I'm keeping a running list of disappearing federal data in the 🧵 below. If there are others I missed let me know. crampell[at]washpost[dot]com or Signal username crampell.13

BATON ROUGE, La. (AP) — A New York doctor who prescribes abortion pills online has been indicted in Louisiana.

We at KFF downloaded a lot of government data that has now been removed. I know other organizations have as well.

i think it is important to say that the open and explicit racism of the president and the vice president isn’t just uncouth or “controversial” but a direct attack on tens of millions of americans and a dereliction of their duty to represent the entire country