Emergency physician, dipl ABOM, mom of four, encourager and advocate. Formerly a business consultant and software product manager. Interests in health policy and economics, ethics, quality improvement and wellness.
#GoBlue!
#MedSkyopen.substack.com/pub/pauloffi...
RFK Jr. should apologize to parents for his inaction during this measles epidemic.
Another Child Dies from Measles
RFK Jr. plans to attend the funeral. He should apologize to the parents for his actions during a measles epidemic that likely involves thousands of children.
Yes! This is your power. This is your responsibility.
@amyklobuchar.com @smith.senate.govSen. Tillis (R-N.C.) says he’s inclined to support the Grassley-Cantwell bill.
Says he’s heard from constituents worried about the tariffs, esp farmers & restaurant/lodging sectors.
Everyone in red states :: call your reps!!
Everyone should care about this. ED boarding leads to increased mortality & morbidity. ER docs know, unfortunately, how dangerous this is.
We need to:
1. Measure and track this metric
2. Invest to solve the root causes*
*the bottlenecks on throughput usually aren’t in the ER
#WeAreAllPatientsSeems like Pete Hegseth thinks Pete Hegseth should resign.
Is Congress going to investigate this
@amyklobuchar.com @smith.senate.gov
@morrison4mn.bsky.social?
There is NO excuse for this. The convenience of the administration officials is not more important than the safety of our troops or national security.
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This is open grift and corruption from the President of the United States. And if you can’t admit that it’s a problem, you’re in the grip of a cult.
Every time he does this, he degrades our entire country. It’s also sad. Many Americans who trust him will lose their savings.
We are all patients. We are not fraud or waste.
A friend drove two hours today for her breast cancer chemotherapy only to learn it was canceled due to NIH cuts. Clinical trial ended midstream. No treatment, no restart, no plan, no information. Her bro-in-law's chemo was also canceled.
I have been seeing and hearing a lot of revisionist history about the pandemic from laptop-class types lately.
Any physicians and healthcare workers interested in a project to document what actually happened on the front lines?
#MedSky #EMedSkyThere was clearly an asymmetry of information about what was happening in the hospitals. It’s always difficult to share stories out of respect for patients and HIPAA requirements. But I really think people need to hear the stories about what happened at hospitals across the country and world.
I think most of us want to move on and not think about those times again. But I think it is worthwhile to document the history - the uncertainty, the lack of preparedness, the overload of health systems, the difficult decisions that had to be made without the benefit of the knowledge we have now.
Running a small independent family medicine office, it was incredibly stressful worrying about the health of my patients and my staff as well as trying to stay afloat financially
Rural hospitals are a lifeline for millions of Americans, but proposed Medicaid reductions put them at risk. When hospitals struggle, entire communities suffer—maternity care and emergency services shouldn’t be on the chopping block.
www.washingtonpost.com/health/2025/...
Republican Medicaid cuts could shutter rural hospitals, maternity care
Potential Medicaid cuts could devastate America’s teetering rural health-care system and jeopardize Republicans’ political power among rural voters.
Time to call your Senators and tell them to vote NO on another anti-vaxxer ideologue.
@amyklobuchar.com @smith.senate.govOne of many things that bothered me in the February employment report:
Employment in restaurants contracted for second month in a row - fears of deportations are real and ICE raids having chilling effect on service sector employment.
Bhattacharya says we need good data to assuage vaccine hesitancy. Cassidy says we already have it & don't waste time reaffirming the earth is round to convince people who will never believe that to be true.
It’s a relief to see NE Representative Bacon openly break rank and take a principled stance in support of Ukraine and in defense against Russian aggression.
We need more Republicans to take principled stances. Kudos to him. We need a big tent to turn this around.
x.com/repdonbacon/...
Rep. Don Bacon 🇺🇸✈️🏍️⭐️🎖️ on X: "WATCH: On @60Minutes, I discussed America's role as the leader of the free world and its status as an indispensable power. If we do not take a stand, no one will be capable of effectively confronting Russia and China. https://t.co/w3wEr06eio" / X
WATCH: On @60Minutes, I discussed America's role as the leader of the free world and its status as an indispensable power. If we do not take a stand, no one will be capable of effectively confronting Russia and China. https://t.co/w3wEr06eio
You know what would be really cool? A system of government where the whims of the head of state could be constrained by some kind of parliament or legislature, or there were some kinds of “checks” or “balances” that ensured that one person didn’t simply get to dictate how the government worked
RFK Jr continues his role as a merchant of doubt grifter
RFK Jr. said in his Fox News OpEd that “Good nutrition remains a best defense against most chronic and infectious illnesses”.
The best diet in the world will not prevent infection if you are unvaccinated and sharing air with someone who has measles.
This is awesome! Can’t wait to tell my amazing Third Grader about her special day. ❤️
Thanks
@governorwalz.mn.govAs requested by a third grader in a letter to my office:
Happy Third Graders Day, Minnesota!
Laughed so hard I cried. Or maybe I was crying already and it made me laugh. Either way…
youtu.be/CUpOMSJ1MdU
Elon Musk Cold Open - SNL
YouTube video by Saturday Night Live
Why are we not seeing a million ads now like in election season showing Musk/Trump/Vance for what they are and what they are doing?
Use your campaign money to educate the public and win hearts and minds. The majority don’t know and aren’t MAGA. Help ensure that we actually have elections again.
DEMOCRATS:
You are committing a historic error right now. The federal government is collapsing and you are paralyzed. You seem unable to even address half the stuff that's happening because it does fit into your pre-fab vision of what good political rhetoric sounds like. You are failing America.
And not just self-serving speeches or sound bites from politicians. Do some actually PR and marketing.
It’s not a smear campaign to show people what is happening to their friends, neighbors and services and to show the corruption and ineptitude.
MAKE PEOPLE LOOK. DON’T LET THEM TURN AWAY.
Very useful framing for those of us still struggling to believe what is happening. Depressing but helpful.
What we’re witnessing in America is what happens when disordered discourse captures a political party, then the state itself. The Republican Party was the first to fall - abandoning truth for conspiracy, ideology for grievance, and policy for performative outrage.
“If Roosevelt had told Churchill to sue for peace on any terms with Adolf Hitler and to fork over Britain’s coal reserves to the United States in exchange for no American security guarantees, it might have approximated what Trump did to Zelensky.”
www.nytimes.com/2025/02/28/o...
Opinion | A Day of American Infamy
A dreadful moment for Ukraine, for the free world, for the legacy of an America that once stood for the principles of the Atlantic Charter.
I’m so ashamed for my country right now. We should be so much better than this. Being an American used to mean more than “cutting deals” and berating victims of aggression to feel tough. We are losing what so many patriots before us have built and defended in blood and treasure. Very sad.
If you didn’t find today to be an absolute disgrace to the United States, I don’t recognize the country you want us to be.
Can our Congress help? Nonpartisan previously scheduled CDC vaccine advisory meeting was cancelled. Per RFKJr anti-vax website it’s to “shake it up”.
Can legislators help it take place as scheduled?
@amyklobuchar.com
@smith.senate.gov
@morrison4mn.bsky.social
@repraulruizmd.bsky.socialDr. Offit, Can the CDC vaccine advisory committee meet as previously scheduled sponsored by a nonprofit or organization? Webcast or broadcast it and discuss what you would have normally regarding seasonal influenza and the other work you were planning to review?
Make a huge mistake. Then make a false claim about how you fixed it.
They did it for PEPFAR.
Now Ebola.
I follow this particular topic VERY closely, so here's what really happened and why this isn't true AT ALL...🧵
RFK Jr.’s Misdirection Gambit
On February 18, 2025, RFK Jr. outlined his agenda for the nation’s largest public health agency. Unfortunately, it had little to do with public health.
He’s BOTH.
A plan that would close the billionaire tax loophole.
Not sure why any Congressional representative would vote against this.
equitablegrowth.org/closing-the-....
Closing the billionaire borrowing loophole would strengthen the progressivity of the U.S. tax code
How closing the borrowing loophole on the super wealthy would combat U.S. income inequality and raise more than $100 billion for our nation.
