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travisjoseph.com
Writer, policy analyst, and advocate. I write at the intersection of policy, humanity, and power—breaking down the policies that empower us and the systems that fail us. Also, I swear a lot. Substack: blog.travisjoseph.com #HIVsky #LGBTQ #PublicHealth
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My dad passed Tuesday. He was loud, loyal, flawed, and full of life. A provider. A hell of a dancer. He loved his family, the Saints, and the water. We’re asking folks to donate to One Way Love in his honor: The Ernest Manint Memorial Fund. 🖤 tjoe.co/4y5ci9

Spoke on PhRMA’s 2025 PRIDE panel with Evan Low & Tekla Taylor—grateful for the convo and the community. I said: Policy is the tool. Advocacy is the pressure. Allyship is the commitment. It’s not enough to care quietly—we have to show up, speak up, and push back. #QueerVoices #LGBTQHealth

My latest analysis for CANN

RFK Jr’s budget would slash $33B from HHS, impose Medicaid work rules, and shut down critical agencies. It’s not about “waste”—it’s about gutting public health. Read why this matters now: tjoe.co/ont5p6 #HealthPolicy #Medicaid #HHSbudget #HealthcareCrisis

This isn’t policy theory—it’s personal. I work with teens who are hungry, unhoused, and uninsured. These cuts will hurt them on purpose. If you claim to follow Jesus, maybe ask why your politics betray the people He told us to protect. tjoe.co/o6wqa2

New antibiotics for STIs are here—but so is the chaos. Public health labs are closing, resistance is rising, and vulnerable communities are on the frontlines. We’re sabotaging our own fight. Read my latest analysis: tjoe.co/gihjsg #PublicHealth #STIsky #HealthPolicy #AntibioticResistance

As a former brand marketer, all I can say is the leadership at WarnerMedia are idiots. But glad they realized that their most valuable brand asset really was their most valuable brand asset. Nice to see you again, Home Box Office.

Patients are paying more for life-saving meds, but manufacturers aren’t getting richer—middlemen are. My latest article breaks down how PBMs and hospital systems pocket the difference while patients suffer. #healthpolicy #pharmsky #medsky tjoe.co/wv2j1f

New Tulane study shows PLWH in redlined areas face 15% longer delays in care—193 days vs. 164. The past is still prescribing outcomes. The map may have changed, but the realities haven’t. Read more: tjoe.co/ohot90 #HIVsky #PublicHealth #EpiSky #HealthPolicy

It’s time to clean house. If you’re over 65, it’s time to retire from congress. If you’re too scared to lead in this moment, then sit the fuck down. Chuck, go write your books and get out of congress, you’re done. Bernie, go rally troops and retire, you’re useless in the senate.

Can confirm. 😭 #ADHD Also, fuck you #RFKJr (for good measure)

Today is National Fentanyl Awareness Day. Naloxone is available over the counter and can reverse a fentanyl overdose. Learn where to get it and how to use it at fentanylawarenessday.org. #NFAD2025

Also what’s the makeup budget in this administration? He’s painting his face like Trump.

Leaked HHS budget proposes gutting HIV prevention, mental health care, and public health infrastructure. A 33% slash that puts lives—and decades of progress—at risk. Full breakdown: tjoe.co/ri2vcv #HIVsky #PublicHealth #HealthPolicy #PoliSky

The Pitt is seriously the most intense tv show I’ve ever seen. Jesus. Really fantastic writing and acting. But damn.

Measles—the disease we fought so hard to eliminate—is making a comeback in the U.S. thanks to falling vaccination rates. We’re nearing the tipping point for endemic measles again. This didn’t have to happen. #PublicHealth #VaccinesWork #IDSky #MedSky www.reuters.com/business/hea...

Y’all need to stop 😭💀

Awwww. www.nytimes.com/2025/04/22/b...

Trump - Penn Vance - Yale Cruz - Harvard Hegseth - Harvard RFK Jr - Harvard Dr Oz - Harvard Ratcliffe - Notre Dame Stefanik - Harvard We clearly need to re-evaluate the value and product of “elite” higher education institutions in this country.

The HIV data systems built to protect us are being gutted in real time—by design. This isn’t modernization. It’s demolition. Read why it matters before it’s too late. tjoe.co/b1ljh3 #HIV #PublicHealth #HealthPolicy #Privacy #HealthcareIT

1/7 Follow-up to last night’s thread on the @wsj.com op-ed: It wasn’t just an isolated rant. It was the prelude. Tonight, @nytimes.com reports the Trump admin nuked Covid.gov and replaced it with a full-blown propaganda site declaring “lab leak” the true origin of Covid. #IDSky #PoliSky

#SisterHillbilly 💀

1/8 The @wsj.com just published a full-blown fascist fanfic. A lab-leak conspiracy rant that calls Fauci a criminal, praises Trump as savior, and suggests an international tribunal led by Pam Bondi. Yes, really. #PoliSky #PublicHealth #MediaAccountability #ScienceNotStunts

Trump’s drug policy is a contradiction wrapped in carceral cosplay. Harsh penalties. Fake wellness farms. Slashed data teams. And somehow…test strips? I break it down here: tjoe.co/7y4odn #DrugPolicy #PublicHealth #HarmReduction #Medicaid #SubstanceUse #SUD #Recovery

This is what happens when you replace evidence with ideology in public health: People die. Predictably. And this is just the beginning. $11.4B clawed back. 20,000 laid off. Vaccine outreach halted. Read my full analysis: tjoe.co/eymkkp #PublicHealth #IDSky #HIVsky #RFKJr #HHS #CDC

I’ll just post this real time convo between me and my aunt as my commentary on #whitelotus

Quick strategy note for Dems: Elon is a problem. But Trump is THE problem. Stop letting the Musk distraction run cover. This is Trump’s mess—own the messaging. Every corrupt, fascist move, every erosion of rights? That’s his legacy. Don’t let people forget it.

PDABs weren’t built to protect patients—they were built to look like reform. Now their sham processes mirror RFK Jr.'s gutting of public input at HHS. Different timelines, same result: patients excluded. tjoe.co/ls1fq8 #PDAB #HealthPolicy #HealthJustice #HIVsky

I do love cheese

Cory Booker has been filibustering for over 21 hours while our public health infrastructure is gutted in real time. Say what you want, but he's using the only tool he has—and it's more than most have done. Today, the CDC was hollowed out. Someone needed to stand the hell up. He did.

ICYMI: CROI 2025 brought once-a-year HIV injectables. Meanwhile, the Trump admin fired the entire HHS HIV team. No joke—this is where we are. tjoe.co/2ep647 #HIVsky #PrEP #PublicHealth #HealthPolicy

So the question today is: how hard is America's Penis™ going to fuck us this time? Of course I'm talking about the Florida special election. Cheeseville, too. MAKE GOOD CHOICES.

Started/Going. Two infants died of pertussis in Louisiana, where last month the state’s surgeon general banned health department staff from encouraging vaccination.