Kailey Bolles MD
@bolleskm.bsky.social
Hospitalist interested in quality improvement, systems, and anything else that gives a good excuse to learn something new. Views my own & not my employer's.
Reposted by Kailey Bolles MD
This is disgusting. The new TN law lets doctors legally discriminate and refuse to treat patients. That's not the oath I took. I've treated criminals, murderers, people with Nazi tattoos. Why? Because I swore to do no harm. And because treating EVERYONE is the right thing to do. #MedSky
This is horrifying. Thanks to @votegloriaj.bsky.social for shining a light on this brave woman’s story. #tngop
Pregnant Woman in Tennessee Denied Care for Being Unmarried
The 2025 Medical Ethics Defense Act allows physicians to deny care to patients whose "lifestyles" they disagree with
open.substack.com
July 18, 2025 at 7:29 PM
This is disgusting. The new TN law lets doctors legally discriminate and refuse to treat patients. That's not the oath I took. I've treated criminals, murderers, people with Nazi tattoos. Why? Because I swore to do no harm. And because treating EVERYONE is the right thing to do. #MedSky
Reposted by Kailey Bolles MD
17 dedicated doctors, pediatricians, scientists, and parents who served on the Advisory Committee of Immunization Practices (ACIP) were just fired by Secretary Kennedy based on false claims of conflicts of interest – a dangerous and unprecedented action that makes our families less safe.
June 9, 2025 at 10:08 PM
17 dedicated doctors, pediatricians, scientists, and parents who served on the Advisory Committee of Immunization Practices (ACIP) were just fired by Secretary Kennedy based on false claims of conflicts of interest – a dangerous and unprecedented action that makes our families less safe.
Reposted by Kailey Bolles MD
There are 2 previous historical cases of countries destroying their science and universities, crippling them for decades: Lysenkoism in the USSR and Nazi Germany. The Trump administration will be the 3rd.
It's not just budgets but research, institutions, expertise, and training the next generation.
It's not just budgets but research, institutions, expertise, and training the next generation.
May 31, 2025 at 4:43 AM
There are 2 previous historical cases of countries destroying their science and universities, crippling them for decades: Lysenkoism in the USSR and Nazi Germany. The Trump administration will be the 3rd.
It's not just budgets but research, institutions, expertise, and training the next generation.
It's not just budgets but research, institutions, expertise, and training the next generation.
Reposted by Kailey Bolles MD
Many of the Medicaid proposals from House Republicans are technical and wonky, and will be difficult for the public to absorb.
What won’t be difficult to absorb: CBO’s estimate that the changes will increase the number of people without health insurance by at least 8.6 million.
What won’t be difficult to absorb: CBO’s estimate that the changes will increase the number of people without health insurance by at least 8.6 million.
May 12, 2025 at 10:19 AM
Many of the Medicaid proposals from House Republicans are technical and wonky, and will be difficult for the public to absorb.
What won’t be difficult to absorb: CBO’s estimate that the changes will increase the number of people without health insurance by at least 8.6 million.
What won’t be difficult to absorb: CBO’s estimate that the changes will increase the number of people without health insurance by at least 8.6 million.
Seattle's DESC is pioneering new protocols to initiate buprenorphine in the community, meeting them where they are with impressive retention rates.
We MUST defend funding for projects like this — I've seen buprenorphine change lives in my practice & it's very exciting to hear about this approach.
We MUST defend funding for projects like this — I've seen buprenorphine change lives in my practice & it's very exciting to hear about this approach.
Seattle Nice: New Hope for Fentanyl Users
This week, three special guests from DESC explain how a new method for administering harm reduction meds is helping drug users stick with treatment.
publicola.com/2025/05/05/s...
This week, three special guests from DESC explain how a new method for administering harm reduction meds is helping drug users stick with treatment.
publicola.com/2025/05/05/s...
Seattle Nice: New Hope for Fentanyl Users - PubliCola
By Erica C. Barnett A new way of administering buprenorphine—a gold-standard medication that combats opioid addiction by reducing the need…
publicola.com
May 6, 2025 at 4:34 AM
Seattle's DESC is pioneering new protocols to initiate buprenorphine in the community, meeting them where they are with impressive retention rates.
We MUST defend funding for projects like this — I've seen buprenorphine change lives in my practice & it's very exciting to hear about this approach.
We MUST defend funding for projects like this — I've seen buprenorphine change lives in my practice & it's very exciting to hear about this approach.
Reposted by Kailey Bolles MD
Doctor Here 👋
-41% of babies’ births are covered by #Medicaid.
-49% of #children are covered by Medicaid or CHIP.
-62% of long-term care residents in nursing homes are covered by Medicaid.
-35% of people with #disabilities are covered by Medicaid.
- Medicaid saves lives!
#medsky #publichealth
-41% of babies’ births are covered by #Medicaid.
-49% of #children are covered by Medicaid or CHIP.
-62% of long-term care residents in nursing homes are covered by Medicaid.
-35% of people with #disabilities are covered by Medicaid.
- Medicaid saves lives!
#medsky #publichealth
April 19, 2025 at 6:26 PM
Doctor Here 👋
-41% of babies’ births are covered by #Medicaid.
-49% of #children are covered by Medicaid or CHIP.
-62% of long-term care residents in nursing homes are covered by Medicaid.
-35% of people with #disabilities are covered by Medicaid.
- Medicaid saves lives!
#medsky #publichealth
-41% of babies’ births are covered by #Medicaid.
-49% of #children are covered by Medicaid or CHIP.
-62% of long-term care residents in nursing homes are covered by Medicaid.
-35% of people with #disabilities are covered by Medicaid.
- Medicaid saves lives!
#medsky #publichealth
Reposted by Kailey Bolles MD
human rights are the foundation of health
this was more or less my conclusion from my undergrad lib arts degree:
April 12, 2025 at 6:12 PM
human rights are the foundation of health
Reposted by Kailey Bolles MD
For folks who are looking for an explainer on how federal research funding supports universities' infrastructure, here's a video created by the folks at the Association of American Universities:
www.youtube.com/watch?v=NtqK...
www.youtube.com/watch?v=NtqK...
March 9, 2025 at 8:29 PM
For folks who are looking for an explainer on how federal research funding supports universities' infrastructure, here's a video created by the folks at the Association of American Universities:
www.youtube.com/watch?v=NtqK...
www.youtube.com/watch?v=NtqK...
🔖🌐
Archivists re-created a mirror of the CDC site prior to all the censorship, edits, & takedowns. It won't replace live updates on vital topics like flu & measles, but does bring back all the data that was purged on an easy-to-use, navigable, & fast website.
#medsky
restoredcdc.org/www.cdc.gov/
Archivists re-created a mirror of the CDC site prior to all the censorship, edits, & takedowns. It won't replace live updates on vital topics like flu & measles, but does bring back all the data that was purged on an easy-to-use, navigable, & fast website.
#medsky
restoredcdc.org/www.cdc.gov/
Centers for Disease Control and Prevention
restoredcdc.org
March 5, 2025 at 7:03 PM
🔖🌐
Archivists re-created a mirror of the CDC site prior to all the censorship, edits, & takedowns. It won't replace live updates on vital topics like flu & measles, but does bring back all the data that was purged on an easy-to-use, navigable, & fast website.
#medsky
restoredcdc.org/www.cdc.gov/
Archivists re-created a mirror of the CDC site prior to all the censorship, edits, & takedowns. It won't replace live updates on vital topics like flu & measles, but does bring back all the data that was purged on an easy-to-use, navigable, & fast website.
#medsky
restoredcdc.org/www.cdc.gov/
Reposted by Kailey Bolles MD
For decades, the US government has painstakingly kept American science #1 globally—and every facet of American life has improved because of it. The internet? Flu shot? Ozempic? All grew out of federally-funded research. Now all that's being dismantled. 1/ www.technologyreview.com/2025/02/21/1...
The foundations of America’s prosperity are being dismantled
Federal scientists warn that Americans could feel the effects of the new administration's devastating cuts for decades to come
www.technologyreview.com
February 21, 2025 at 1:01 PM
For decades, the US government has painstakingly kept American science #1 globally—and every facet of American life has improved because of it. The internet? Flu shot? Ozempic? All grew out of federally-funded research. Now all that's being dismantled. 1/ www.technologyreview.com/2025/02/21/1...
Reposted by Kailey Bolles MD
Medicaid is one of the most cost-effective health programs.
It costs less per enrollee than private insurance & has lower administrative costs.
Besides direct harms to people
who lose their coverage, cutting Medicaid will put people out of jobs & close rural + community hospitals.
It costs less per enrollee than private insurance & has lower administrative costs.
Besides direct harms to people
who lose their coverage, cutting Medicaid will put people out of jobs & close rural + community hospitals.
Medicaid covers:
- 40% of children
- 41% of births
- 60% of nursing home residents
-23% of non-older adults with mental illness ppl
- 25% of adults 19-64 yo with disabilities
- 40% of children
- 41% of births
- 60% of nursing home residents
-23% of non-older adults with mental illness ppl
- 25% of adults 19-64 yo with disabilities
Congress is about to cut #Medicaid by $880 billion. CALL THESE REPS. They are vulnerable--close margins in their elections and with lots of people in Medicaid in their districts. You may call the Capitol Switchboard at (202) 224-3121. List below. Call now and all day tomorrow. 1/
February 26, 2025 at 10:22 AM
Medicaid is one of the most cost-effective health programs.
It costs less per enrollee than private insurance & has lower administrative costs.
Besides direct harms to people
who lose their coverage, cutting Medicaid will put people out of jobs & close rural + community hospitals.
It costs less per enrollee than private insurance & has lower administrative costs.
Besides direct harms to people
who lose their coverage, cutting Medicaid will put people out of jobs & close rural + community hospitals.
So needlessly cruel to those who need help most.
These cuts will kill patients, limit care, close hospitals, & raise prices for EVERYONE -- including many children.
Just to make the rich richer.
#medsky
www.forbes.com/sites/arthur...
These cuts will kill patients, limit care, close hospitals, & raise prices for EVERYONE -- including many children.
Just to make the rich richer.
#medsky
www.forbes.com/sites/arthur...
February 26, 2025 at 2:21 AM
So needlessly cruel to those who need help most.
These cuts will kill patients, limit care, close hospitals, & raise prices for EVERYONE -- including many children.
Just to make the rich richer.
#medsky
www.forbes.com/sites/arthur...
These cuts will kill patients, limit care, close hospitals, & raise prices for EVERYONE -- including many children.
Just to make the rich richer.
#medsky
www.forbes.com/sites/arthur...
Reposted by Kailey Bolles MD
In a new Editorial, JAMA editors, JAMA Network Editors in Chief, and JAMA editorial leadership address the recent executive orders that have impacted the scientific process and reaffirm their commitment to scientific and editorial integrity.
ja.ma/4b5LsIt
ja.ma/4b5LsIt
February 20, 2025 at 4:30 PM
In a new Editorial, JAMA editors, JAMA Network Editors in Chief, and JAMA editorial leadership address the recent executive orders that have impacted the scientific process and reaffirm their commitment to scientific and editorial integrity.
ja.ma/4b5LsIt
ja.ma/4b5LsIt
Abortion is evidence-based, guideline-directed healthcare — bans cause devastating complications & death.
TX & CDC choosing not to study them doesn't make it not true. #medsky
How does this protect women & babies again?
Great reporting by @propublica.org
TX & CDC choosing not to study them doesn't make it not true. #medsky
How does this protect women & babies again?
Great reporting by @propublica.org
NEW: Pregnancy became far more dangerous in Texas after the state banned abortion, according to ProPublica’s first-of-its-kind analysis, which found the sepsis rate for women hospitalized as they miscarried in the 2nd trimester shot up by more than 50%.
https://propub.li/43487Tj
https://propub.li/43487Tj
Texas Banned Abortion. Then Sepsis Rates Soared.
ProPublica’s first-of-its-kind analysis is the most detailed look yet into a rise in life-threatening complications for women experiencing pregnancy loss under Texas’ abortion ban.
propub.li
February 20, 2025 at 3:20 PM
Abortion is evidence-based, guideline-directed healthcare — bans cause devastating complications & death.
TX & CDC choosing not to study them doesn't make it not true. #medsky
How does this protect women & babies again?
Great reporting by @propublica.org
TX & CDC choosing not to study them doesn't make it not true. #medsky
How does this protect women & babies again?
Great reporting by @propublica.org
Reposted by Kailey Bolles MD
We need the cerulean sweater scene from The Devil Wears Prada, but for science funding.
February 15, 2025 at 11:54 PM
We need the cerulean sweater scene from The Devil Wears Prada, but for science funding.
Reposted by Kailey Bolles MD
Grateful to @gregggonsalves.bsky.social for his inspiring work and words
When ‘Just Asking Questions’ About Science Turns Into 300,000 Dead
www.nytimes.com/2025/02/13/o...
When ‘Just Asking Questions’ About Science Turns Into 300,000 Dead
www.nytimes.com/2025/02/13/o...
Opinion | I Shudder to Imagine Kennedy Running Our Health Agencies. (Gift Article)
We have to go toe-to-toe with this administration and resist its attacks on public health.
www.nytimes.com
February 13, 2025 at 11:38 PM
Grateful to @gregggonsalves.bsky.social for his inspiring work and words
When ‘Just Asking Questions’ About Science Turns Into 300,000 Dead
www.nytimes.com/2025/02/13/o...
When ‘Just Asking Questions’ About Science Turns Into 300,000 Dead
www.nytimes.com/2025/02/13/o...
Reposted by Kailey Bolles MD
My latest from inside NIH as well as universities that get its funding. I think it is important to say clearly what moves like this will actually do to people.
Destructive Banality: NIH Indirect Costs Move Sounds Boring, Could Kill You
Splinter is your home for news and opinions that challenge power in our political and economic system that's becoming more unhinged each and every day.
www.splinter.com
February 10, 2025 at 2:40 PM
My latest from inside NIH as well as universities that get its funding. I think it is important to say clearly what moves like this will actually do to people.
Reposted by Kailey Bolles MD
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...
I want to provide some context on what that means and why it matters.
grants.nih.gov/grants/guide...
NOT-OD-25-068: Supplemental Guidance to the 2024 NIH Grants Policy Statement: Indirect Cost Rates
NIH Funding Opportunities and Notices in the NIH Guide for Grants and Contracts: Supplemental Guidance to the 2024 NIH Grants Policy Statement: Indirect Cost Rates NOT-OD-25-068. OD
grants.nih.gov
February 8, 2025 at 12:18 AM
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...
I want to provide some context on what that means and why it matters.
grants.nih.gov/grants/guide...
Reposted by Kailey Bolles MD
NIH doesn’t just support infectious disease research—it drives breakthroughs in cancer, childhood diseases, heart disease, diabetes & more.
Thanks to NIH, we have:
💉 Cancer immunotherapy
❤️ Cholesterol-lowering statins
🩸 Insulin for diabetes
Investing in NIH = investing in life-saving discoveries.
Thanks to NIH, we have:
💉 Cancer immunotherapy
❤️ Cholesterol-lowering statins
🩸 Insulin for diabetes
Investing in NIH = investing in life-saving discoveries.
February 8, 2025 at 3:07 PM
NIH doesn’t just support infectious disease research—it drives breakthroughs in cancer, childhood diseases, heart disease, diabetes & more.
Thanks to NIH, we have:
💉 Cancer immunotherapy
❤️ Cholesterol-lowering statins
🩸 Insulin for diabetes
Investing in NIH = investing in life-saving discoveries.
Thanks to NIH, we have:
💉 Cancer immunotherapy
❤️ Cholesterol-lowering statins
🩸 Insulin for diabetes
Investing in NIH = investing in life-saving discoveries.
Reposted by Kailey Bolles MD
The loss of research and clinical funding (USAID, PEPFAR, NIH, CDC, etc) directly impacts human beings in trials, who are being treated for HIV/TB/malaria, and who are now at greater risk of dying. The halt of funding is unethical and violates our commitments to study participants and to patients.
February 7, 2025 at 5:08 PM
The loss of research and clinical funding (USAID, PEPFAR, NIH, CDC, etc) directly impacts human beings in trials, who are being treated for HIV/TB/malaria, and who are now at greater risk of dying. The halt of funding is unethical and violates our commitments to study participants and to patients.
Reposted by Kailey Bolles MD
Editorial from the @thelancet.bsky.social
"The health, medical, and scientific communities have a vital role in advocating for their patients, defending programmes, and lobbying for policies and institutions that are good for health and wellbeing."
#GoodTrouble
"The health, medical, and scientific communities have a vital role in advocating for their patients, defending programmes, and lobbying for policies and institutions that are good for health and wellbeing."
#GoodTrouble
February 7, 2025 at 12:01 PM
Editorial from the @thelancet.bsky.social
"The health, medical, and scientific communities have a vital role in advocating for their patients, defending programmes, and lobbying for policies and institutions that are good for health and wellbeing."
#GoodTrouble
"The health, medical, and scientific communities have a vital role in advocating for their patients, defending programmes, and lobbying for policies and institutions that are good for health and wellbeing."
#GoodTrouble
Reposted by Kailey Bolles MD
The entire archive of CDC datasets can be found here.
HUGE shoutout to data archivists- this work is important 👏🙌🏻
archive.org/details/2025...
HUGE shoutout to data archivists- this work is important 👏🙌🏻
archive.org/details/2025...
February 1, 2025 at 6:33 PM
The entire archive of CDC datasets can be found here.
HUGE shoutout to data archivists- this work is important 👏🙌🏻
archive.org/details/2025...
HUGE shoutout to data archivists- this work is important 👏🙌🏻
archive.org/details/2025...
Disappointed but not surprised by the AMA's silence. However, I've been sad to find that SHM & ACP also seem to be MIA while we see scientific censorship, efforts to roll back coverage, & a scarily unqualified HHS nom.
@societyhospmed.bsky.social @acpimphysicians.bsky.social Where do you stand?
@societyhospmed.bsky.social @acpimphysicians.bsky.social Where do you stand?
A physician member of the AMA—who requested anonymity for fear of retaliation—is sounding the alarm.
“The current admin prohibited all communications of the CDC and other agencies with the public. Now, the public and physicians are left with no info on food recalls or disease outbreaks.“
“The current admin prohibited all communications of the CDC and other agencies with the public. Now, the public and physicians are left with no info on food recalls or disease outbreaks.“
I’m a doctor, and I’m appalled at the silence from the American Medical Association
Many physicians feel that our values do not align with the values of our advocacy organization.
www.motherjones.com
February 4, 2025 at 7:15 PM
Disappointed but not surprised by the AMA's silence. However, I've been sad to find that SHM & ACP also seem to be MIA while we see scientific censorship, efforts to roll back coverage, & a scarily unqualified HHS nom.
@societyhospmed.bsky.social @acpimphysicians.bsky.social Where do you stand?
@societyhospmed.bsky.social @acpimphysicians.bsky.social Where do you stand?
Giving people more facts is insufficient - we need to help people become competent outsiders, teaching them to critically analyze sources, understand normal uncertainty, evaluate expertise and peer review debate, & assess whether stakeholders are sowing doubt for their own benefit.
To Fight Misinformation, We Need to Teach That Science Is Dynamic
Science is a social process, and teaching students how researchers work in tandem to develop facts will make them less likely to be duped by falsehoods
www.scientificamerican.com
February 1, 2025 at 6:01 PM
Giving people more facts is insufficient - we need to help people become competent outsiders, teaching them to critically analyze sources, understand normal uncertainty, evaluate expertise and peer review debate, & assess whether stakeholders are sowing doubt for their own benefit.
Reposted by Kailey Bolles MD
It's all gone. They've taken down all the CDC datasets from data.cdc.gov
Data that's critical for public health & research. Data paid for by citizens. That the government now censors.
"Do not fear those who tell the truth. Fear those who try to hide it. They are willing to sacrifice other things."
Data that's critical for public health & research. Data paid for by citizens. That the government now censors.
"Do not fear those who tell the truth. Fear those who try to hide it. They are willing to sacrifice other things."
February 1, 2025 at 12:34 PM
It's all gone. They've taken down all the CDC datasets from data.cdc.gov
Data that's critical for public health & research. Data paid for by citizens. That the government now censors.
"Do not fear those who tell the truth. Fear those who try to hide it. They are willing to sacrifice other things."
Data that's critical for public health & research. Data paid for by citizens. That the government now censors.
"Do not fear those who tell the truth. Fear those who try to hide it. They are willing to sacrifice other things."