Stacie Dusetzina
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dusetzinas.bsky.social
Stacie Dusetzina
@dusetzinas.bsky.social

Health services researcher at Vanderbilt Health Policy. Avid coffee drinker, investigator of drug policies & prices. RT not an endorsement. Opinions are mine.

Economics 71%
Public Health 8%
Powerful piece in STAT this morning from some NIH staff members who have resigned

www.statnews.com/2026/01/10/n...

1/3
The NIH has lost its scientific integrity. So we left
“We can no longer lend our credibility to an organization that has lost its integrity,” write four scientists and administrators who recently resigned from the NIH.
www.statnews.com

Congratulations! That is amazing!
NEW FOIA Files newsletter is out! This week, I invited my @bloomberg.com colleague @agordon.me to break down data I obtained related to DOGE & govt hiring that took me nearly a year to pry loose.

www.bloomberg.com/news/newslet...
Data Reveals Details About DOGE, Government Hiring in 2025
The IRS hired 1,313 employees in January 2025. Over the next two months the agency laid off 11,000 workers, or about 11% of its workforce. Additionally, the data identifies employees tied to DOGE.
www.bloomberg.com
Stuart H. Altman, Ph.D., internationally recognized leader in health policy and economics, beloved teacher, loving patriarch, and inaugural chair of the Massachusetts Health Policy Commission (HPC), passed away on January 1, 2026.

“Our country has lost a legend.” masshpc.gov/news/press-r...
NEW: Data released by ICE shows that virtually the entire growth of detention in the last few months has been among people with no criminal record at all - no prior convictions (no matter how minor) and no pending criminal charges.
I'm monitoring first awful reports of two people shot in Portland by federal law enforcement. I'll keep you updated, but Trump's deployment of federal agents in my hometown is clearly inflaming violence — and must end.
Remembering today that having your heart broken is a necessary step on the path to becoming fully human. Whichever heartbreak is your first, it’s probably critical that a state break your heart so that you can develop a political imagination. If this is your first, I’m sorry and also welcome.

This is a good example of skewed distributions and how they influence medians and means.
It's an interesting move for Trump's Treasury Department to suggest Americans will receive a $3,750 tax cut and $7,200 in higher wages this year.

I'm skeptical it's going to work well for them because Americans are unlikely to see anything like this. 🧵

www.treasury.gov/wftc/index.h...
It's an interesting move for Trump's Treasury Department to suggest Americans will receive a $3,750 tax cut and $7,200 in higher wages this year.

I'm skeptical it's going to work well for them because Americans are unlikely to see anything like this. 🧵

www.treasury.gov/wftc/index.h...

Rest in peace, David. What an amazing legacy working to make medicine more affordable.

So sad to see this. Stuart was a wonderful person and giant in the field of health policy. He will long be remembered.
We mourn the loss of Stuart H. Altman, Ph.D., a leader in health policy and economics and the inaugural chair of the HPC.

“Dr. Altman dedicated his life to a health care system that is affordable and accessible for all,” said HPC Executive Director David Seltz.
HPC Statement on Stuart H. Altman, Ph.D. | Massachusetts Health Policy Commission
Image BOSTON — Stuart H.
masshpc.gov
Interested in the relationship between place-based social determinants of health (SDoH) and Alzheimer's disease and related dementias biomarkers?

Check out this new research published in #BSEA!

alz-journals.onlinelibrary.wiley.com/doi/10.1002/...

#AlzSky
Next Up:

▶️ Drug Pricing in Trump 2.0: Where Are We and What’s Ahead?

🗓️ January 16, 2026 @ 12pm ET

Featuring experts @avik.bsky.social, @rachelsachs.bsky.social, @martawosinska.bsky.social, and LDI Executive Director @rachelwerner.bsky.social.

Register today:
ldi.upenn.edu/events/drug-...
Drug Pricing in Trump 2.0: Where are We and What’s Ahead?
This panel will bring together experts to explore the evidence for whether the Trump administration’s initiatives are likely to deliver meaningful relief for consumers and to discuss what to expect fr...
ldi.upenn.edu
We mourn the loss of Stuart H. Altman, Ph.D., a leader in health policy and economics and the inaugural chair of the HPC.

“Dr. Altman dedicated his life to a health care system that is affordable and accessible for all,” said HPC Executive Director David Seltz.
HPC Statement on Stuart H. Altman, Ph.D. | Massachusetts Health Policy Commission
Image BOSTON — Stuart H.
masshpc.gov
I was very sad to learn of the passing of David Mitchell,
a cancer patient who turned his own battle into a fight to make medicines more affordable. Here, @pharmalot.bsky.social gets at why Mitchell was so special.

www.statnews.com/2026/01/05/d...
With political savvy and outrage over drug prices, advocate David Mitchell was ahead of his time
David Mitchell, who helped launch Patients for Affordable Drugs to raise awareness of high drug prices and seek to bring them down, died at age 75.
www.statnews.com

My decorating has come a long way this year. Hope 2026 is better for grants / funding / science than 2025 was!
Our most-read story of 2025:

Outraged by the Jan. 6 riot, a vigilante spent years undercover climbing the ranks of right-wing militias. He didn’t tell police or the FBI. He didn’t tell family or friends. The one person he told was a ProPublica reporter.
A Mole Infiltrated the Highest Ranks of American Militias. This Is What He Found.
Outraged by the Jan. 6 Capitol riot, a wilderness survival trainer spent years undercover climbing the ranks of right-wing militias. He didn’t tell police or the FBI. He didn’t tell family or friends....
www.propublica.org
This looks like Sinbad died and got reincarnated as a chair.
Oncologists should support - not oppose - Medicare drug price negotiation. Lower drug prices benefit patients; this should supersede revenue concerns.

So @dusetzinas.bsky.social @rachelsachs.bsky.social and I argue today in @jamaoncology.com

jamanetwork.com/journals/jam...

1/
Oncology Drug Revenue and Price Negotiation
This Viewpoint examines the potential impacts of the Inflation Reduction Act and negotiation of oncologic drug prices on payments to oncology specialists.
jamanetwork.com

We played Nintendo (original) Jeopardy from the early 80s at Thanksgiving. It was brutally hard! 😅

Amazing how consistent these findings are and how the academy still does not change. When I am on hiring or promotion committees I always aim to bring this up at the start. Good reminder during PhD application reviews, too. Letters are so persuasive and we know those also differ by gender/race.
In the spirit of the holidays, we've been featuring people with innovative fixes to health care's toughest challenges.

Dr. Lisa Fitzpatrick believes plainspoken information from trusted messengers can help shrink health disparities.

tradeoffs.org/2023/02/02/h... less
One Doctor’s Crusade to Improve Health Literacy
Dr. Lisa Fitzpatrick believes plainspoken information from trusted messengers can help shrink health disparities, and some insurers are buying in.
tradeoffs.org

Merry Christmas Eve! Max and Wiley want to wish everyone a great Holiday week!
watching my favorite christmas movie and what is possibly the great american comedy about class and race
A donor in Maryland is paying off the debt of about 82,000 meals for low-income students.

Administrators estimate the donation will cover two years’ worth of school lunch debt for students enrolled in the free and reduced-priced meals (FARM) program.
Donor pays off the debt for more than 80,000 school meals in one county
Montgomery County Public Schools received a large donation to pay off school meals debt.
wapo.st
Drug pricing watchers: CMMI has now announced its model to expand GLP-1 coverage in Part D/Medicaid. I may have more analysis later, but for now a couple of thoughts. www.cms.gov/priorities/i... 1/4
BALANCE (Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth) Model | CMS
The BALANCE Model aims to increase access to select GLP-1 medications and healthy lifestyle interventions — to help people with Medicare and Medicaid improve their health.
www.cms.gov
don’t wrap presents on the floor without a plan on how to get back up
The Department of Government Efficiency (DOGE) led a path of gutting and destruction of public, global health, and medical research resources, among others.
How much did it save in federal spending?
Nothing...it led to an increase

www.nytimes.com/2025/12/23/u...
How Did DOGE Disrupt So Much While Saving So Little?
www.nytimes.com
A often-overlooked fallout of our fragmented drug distribution system: patients with too many medicines, too many prescribers, too many pharmacies, and not enough quarterbacking of the entirety of the patient’s treatment journey.

www.wsj.com/health/healt...
America’s Seniors Are Overmedicated
One in six seniors enrolled in Medicare’s drug benefit were prescribed eight or more medications at the same time, an analysis of Medicare data found.
www.wsj.com