Professor of health policy w/ expertise in access to care, Medicaid, Veterans' health. Former @BUSPH_HLPM @DeptofDefense @USArmy (CIV) @AlumsPMF. Views my own.
Nashville, TN
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🚨 New pub in @PLOSONE led by @gero5!
Physical therapy is an alternative to opioids for musculoskeletal pain
However, referral requirements may be a barrier
Physical therapy direct access laws were associated with fewer opioid prescriptions
LINK: journals.plos.org/plosone/ar…
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Absolutely wild: An Ohio city paid $800K to wipe out ~ $200M of medical debt for its 268,508 residents.
Last night, Toledo City Council approved $800,000 to purchase the medical debt of Toledoans, creating roughly $160-240 million in debt relief.
This is what it looks like when your government works for you. Toledo is leading the way!
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That's an average $750 of debt for every man, woman, and child eliminated at a cost of less than $3/person
Can we get ballot initiatives going to copy this in other cities??
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An hour of illegal #Boston fireworks in 2 minutes
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Metaphor I heard recently - the Democrats are pointing at the rule book screaming "A dog isn't allowed to play basketball!" while a dog dunks on them over and over again and the crowd goes wild.
I fear the biggest threat to America right now is the death of compromise; the sense among Democrats that the only way to beat a win at any cost strategy by a party with faithful allegiance from a sizable minority is to do the same.
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🚨 PUBLIC GOOD ALERT 🚨
Measuring wait times for U.S. medical care is hard
Data are private, limited to "secret shopper" surveys, or particular specialties
UNTIL NOW. We've released 38M appt wait times for public use
Link: sciencedirect.com/science/ar…
A 🧵on these data (1/n)
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Reviewers: please don't ding a manuscript for not having power calculations when the analysis covers the entire U.S. population
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Is this satire? I 100% reflect on and recognize my privileges as a cishet white man, but if you're suggesting I submit a checklist every time I post a W... that's insane
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what idiot called it a "randomized controlled trial with placebo" and not "trick or treatment"
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Very pleased to announce that I will be joining the Department of Health Policy at Vanderbilt University (@VUHealthPol) in the fall as an assistant professor! I'm excited & honored to start the next phase of my career with such a talented group of scholars.
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Every time I see someone attack you for using GOP examples, as if it means everything else you say is meritless, I think of this
it's funny that ppl follow this acct and expect the fairness doctrine like I'm NPR and not a menswear blogger with a jokey name who lives alone with a cat and feeds raccoons at night
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🚨🚨 PUBLIC GOOD ALERT 🚨🚨
Have you needed old Area Health Resource Files & been bummed HRSA only has the most recent 1-2 years of data online?
We have good news, AHRFs 2004-present now in citeable format
Please share for those who may benefit (1/3)
sciencedirect.com/science/ar…
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It seems like there's now 19 different approaches to address differential treatment timing in DID settings
As reviewers, we can't keep asking researchers to run all of them
Is there a piece that provides guidelines for when some are more appropriate than others? #EconTwitter
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"Mountains are not stadiums where I satisfy my ambition to achieve, they are the cathedrals where I practice my religion." ~Anatoli Boukreev
For @BackpackerMag's #nationalsummitday, here's some photos from my trip to the Wind River Range
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Do PhDs working in industry have to fill out their own expense reports in Concur? If not, I'd seriously consider a switch
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A little anticlimactic to receive by mail, but you'll still have to pry it from my cold dead hands! @BUSPH
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🚨NEW RESEARCH in @JAMANetworkOpen🚨
Led by @YFeyman + @dani_econ, we looked at waits that vets experience for:
1) primary care
2) mental health
3) other specialties
+ variation by region & where care was delivered (VA vs. private)
LINK: jamanetwork.com/journals/jam…
🧵(1/n)
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"My biggest concern is epistemological diversity ... that in health services, we focus to much on questions that are federally fundable."
#ARM22 @mclemoremr
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My 4yo just said "Daddy, why do people make up things that their children have said for social media? Isn't it just inherently dishonest & indicative of an inability to construct a compelling narrative of themselves?"
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.@DrJenGunter busting myths and tearing up the charts! Now only if Twitter will stop censoring promos due to the title
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For anyone interested, I've put complete R code and datasets to recreate three of my ACA/Medicaid expansion studies here:
1) Medical Care 2020 data.mendeley.com/datasets/y…
2) Journal of Adolescent Health 2020 data.mendeley.com/datasets/r…
3) Health Affairs 2020 data.mendeley.com/datasets/c…
I can provide complete data & R code for any of these studies on Medicaid Expansion/Affordable Care Act:
healthaffairs.org/doi/abs/10…
journals.lww.com/lww-medical…
healthaffairs.org/doi/full/1…
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🚨🚨New article alert!🚨🚨
We looked at trends in health care access under Obama (2011-2016) and the first year of the Trump administration (2017). New work with @dklinejones, @JacobBor, and Ben Sommers @HarvardChanSPH in @Health_Affairs!
What did we find? Read on... (1/n)
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Regardless of the paper's merits, this statement is obviously wrong. It's clearly a DID from the part you shared...
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I submitted a grant today and I'm SO drained. I poured months of time + my soul into this application, and I truly believe this work would directly improve the lives of residents in public housing - both in Nashville & beyond. Hopefully our reviewers agree 👍 #AcademicChatter
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Me, a health researcher: people are really bad at following medical advice
Doctor: you need to fast and avoid caffeine for 12 hours before this blood draw
Me: lol no
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Health insurer profit margins are generally between 3-4%. There's much to be criticized about insurer behavior, but excessive profits ain't it
$40 billion sounds like a crazy number, but health insurers had $1.25 trillion in revenue last year & 86% of that was paid out in claims
it’s almost as if all the healthcare workers and all the patients hate the system and hate being treated like shit and are absolutely fed up and on the brink of total and complete collapse, while the health insurers made over 40 billion in profits last year
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Mow the lawn? 🤯 yeah unless there's no hotels or there's a huge price differential I'm done with airbnb
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Friends, some unfortunate news - my cousin Shawn, a father of 3, lost his battle with opioids yesterday morning
He'd also lost his job during the pandemic, so his family won't benefit from life/burial insurance
Please consider helping if you are able
gofund.me/bdad59b6
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🚨NEW PAPER in @DrugAlcoholDep🚨
We looked at:
1) drug overdose mortality during COVID-19
2) whether trends differed in #Medicaid expansion states
Anecdotally, we expected it to be bad. But now know the toll and.. yikes🧵
Led by @sam_auty, LINK: sciencedirect.com/science/ar…
(1/4)
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ICMYI, here's my poster comparing VA to private sector wait times #ARM21!
tldr; 3 big takeaways
1) VA wait times on average lower than private
2) Areas with longer VA waits tend to have longer private waits --> points to general lack of access not specific to VA
...
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🚨🚨New in @Health_Affairs blog 🚨🚨
The only thing that could make the tragedy of COVID-19 worse is if we fail to learn from it
@MelindaBBuntin & I discuss promising study designs and data that researchers may use to improve value in health post-COVID
healthaffairs.org/do/10.1377…
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I disagree with this adversarial framing. It may score Twitter points, but is self-defeating
We shouldn't use privilege to lessen each other's accomplishment
We should instead encourage the privileged (such as myself) to reflect and use it to lift up others
@AcademicChatter
Academics who announce their accomplishments should disclose their privileges.
Do you come from an academic family? Are you white? Are you a man? Are you straight? Are you cis-gender? Are you able-bodied? Are you a citizen of where you work? All of the above?
#AcademicChatter
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🚨🚨NEW ARTICLE🚨🚨
Gov. Kasich & Ohio GOP were quite effective at reducing access to abortion clinics
What happened to women's health when they closed?
New in @AmJPrevMed, joint with @JackieeEllison @JacobBor @DavidSlusky (1/n)
sciencedirect.com/science/ar…
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Fastest way to annoy a reviewer: have your abstract says no one has ever answered your research question, when in fact several have, including yours truly
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New BU Lab Studies Medicaid, Where Racism, Poverty, and COVID-19 Meet (featuring @shaferpr @meganbcole @SarahHallGordon)
bu.edu/articles/2021/new-bu-…
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I thought about David & this tweet often, and now it just destroys me
Please donate to his family's GoFundMe if you can
gofundme.com/f/busph-gofundm…
As I told my three kids their mom has cancer I thought about the nest outside our recent Airbnb window, the three babies who spent most of their days with mouths open waiting for food to arrive. I read that robins parent together, the dad taking care when the mom isn’t around
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Studies of the effects of preschool, Head Start, etc. are plagued by selection issues - parents and families who enroll their kids are different from those who don't I'm ways that affect outcomes
But Boston used a lottery to test public preschool and the results are.. wow
These are some of the most amazing RCT results I've ever seen. seii.mit.edu/wp-content/uplo…
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Them: would you like to eat 30 apricots?
Me: lol no
Them: what if we dehydrate them first
Me: oh hell yeah
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Agree 100%. If folks don't feel safe, they're not going to fully resume economic activities.
Household mobility data from Google show big declines BEFORE states' shelter-in-place orders
Shutdowns aren't killing the economy - our inadequate COVID response is the real culplrit
As lockdowns have been lifted in most of the country and businesses have been able to reopen, supply shock has waned, only for a new problem to emerge: weak demand. read.medium.com/ceV7fz3
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Yah, downside of going to ombudsman is you're not immune from being blackballed in academia but since you're leaving...
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I literally LOL'd when I first saw it about:
1) how small it is
2) that we insist on throwing pennies at it like a mall fountain
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For those asking, this artwork is Keeping Away Death by Julian Hoke Harris (1959) artsatl.org/julian-hoke-harr…
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I figure academia is telling myself I'll have more time in the next couple months, every month until I die
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High: First day of in-person teaching in over a year, still fit into my biz clothes
Low: Ordered a pill organizer so I'm now officially an Old
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🚨The world is on fire but I have NEW RESEARCH🚨🚨
Just out in @DrugAlcoholDep, "Implications of county-level variation in U.S. opioid distribution," joint with @erikacrable @Tim_Levengood @sam_auty @YFeyman when we were all students!
Quick thread (1/N)
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Sign of approaching middle age: Driving to a new city, to start a new job post-PhD, and I'm most excited about sleeping on the fancy new mattress I ordered 😴
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🚨FYI the repository now has AHRF data spanning 2000-2023
If anyone has 2002-2003 files lying around, those are the only holes (except 2010 when the AHRF wasn't constructed)
data.mendeley.com/datasets/d…
🚨🚨 PUBLIC GOOD ALERT 🚨🚨
Have you needed old Area Health Resource Files & been bummed HRSA only has the most recent 1-2 years of data online?
We have good news, AHRFs 2004-present now in citeable format
Please share for those who may benefit (1/3)
sciencedirect.com/science/ar…
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And just like that, all the military strategists became experts in design of cluster randomized trials
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And for those who haven't been following this saga for awhile, this 🧵is why Scott's continued defense and behind-the-scenes retaliation against victims is so problematic.
False and defamatory claims about the AEA DeAngelo investigation are being circulated online by anonymous accounts.
If our institutions aren’t going to protect us, we have to protect ourselves. Time to set the record straight.
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