CODE BLACK
@codeblackamerica.bsky.social
Emergency physician 🇨🇦 | U.S.-trained, mid-career. I watched U.S. medicine sell its moral core to fascists. Canada still has time to choose differently.
https://substack.com/@codeblackdispatch
https://substack.com/@codeblackdispatch
Pinned
Published Elsewhere: A Canada Healthwatch Series on Medicine, Migration, and System Collapse
Nine essays written under a pseudonym, tracing the flight of U.S. physicians, Canada’s policy choices, and the growing political assault on evidence-based care
substack.com
I’ve collected my Canada Healthwatch essays in one place.
A chronological record of physician migration, health policy, and institutional failure—written under a pseudonym, now indexed here.
@canadahealthwatch.ca
A chronological record of physician migration, health policy, and institutional failure—written under a pseudonym, now indexed here.
@canadahealthwatch.ca
Reposted by CODE BLACK
I’ve collected my Canada Healthwatch essays in one place.
A chronological record of physician migration, health policy, and institutional failure—written under a pseudonym, now indexed here.
@canadahealthwatch.ca
A chronological record of physician migration, health policy, and institutional failure—written under a pseudonym, now indexed here.
@canadahealthwatch.ca
Published Elsewhere: A Canada Healthwatch Series on Medicine, Migration, and System Collapse
Nine essays written under a pseudonym, tracing the flight of U.S. physicians, Canada’s policy choices, and the growing political assault on evidence-based care
substack.com
December 31, 2025 at 8:54 PM
I’ve collected my Canada Healthwatch essays in one place.
A chronological record of physician migration, health policy, and institutional failure—written under a pseudonym, now indexed here.
@canadahealthwatch.ca
A chronological record of physician migration, health policy, and institutional failure—written under a pseudonym, now indexed here.
@canadahealthwatch.ca
In February 2025, @nicktsergas.ca and I warned Canada to prepare for the anticipated influx of physicians immigrating north.
The time has come, and Canada is finally ready. Thanks to all Canadians who helped make this happen. 🇨🇦
The time has come, and Canada is finally ready. Thanks to all Canadians who helped make this happen. 🇨🇦
Paging Canada: Your future doctors are fleeing the U.S.
Before the US election, my wife and I talked about moving to Canada. 2 days after, we put the wheels in motion.
canadahealthwatch.ca
January 4, 2026 at 7:10 PM
In February 2025, @nicktsergas.ca and I warned Canada to prepare for the anticipated influx of physicians immigrating north.
The time has come, and Canada is finally ready. Thanks to all Canadians who helped make this happen. 🇨🇦
The time has come, and Canada is finally ready. Thanks to all Canadians who helped make this happen. 🇨🇦
As an America who moved to Canada in 2025, here’s my advice to Canadians:
Defending Canadian sovereignty means relentlessly defending the truth in all domains. This includes issues that you may believe do not directly affect you as an individual. Elbows up. 🇨🇦
Defending Canadian sovereignty means relentlessly defending the truth in all domains. This includes issues that you may believe do not directly affect you as an individual. Elbows up. 🇨🇦
January 3, 2026 at 9:33 PM
As an America who moved to Canada in 2025, here’s my advice to Canadians:
Defending Canadian sovereignty means relentlessly defending the truth in all domains. This includes issues that you may believe do not directly affect you as an individual. Elbows up. 🇨🇦
Defending Canadian sovereignty means relentlessly defending the truth in all domains. This includes issues that you may believe do not directly affect you as an individual. Elbows up. 🇨🇦
My New Year’s resolution:
To warn that medical institutions like University of California, San Francisco, ushered Dr. Vinnay Prasad to the highest levels of government while firing those advocating for science-based medicine.
Do not support. Do not apply.
This institution is beneath you.
To warn that medical institutions like University of California, San Francisco, ushered Dr. Vinnay Prasad to the highest levels of government while firing those advocating for science-based medicine.
Do not support. Do not apply.
This institution is beneath you.
January 1, 2026 at 4:01 PM
My New Year’s resolution:
To warn that medical institutions like University of California, San Francisco, ushered Dr. Vinnay Prasad to the highest levels of government while firing those advocating for science-based medicine.
Do not support. Do not apply.
This institution is beneath you.
To warn that medical institutions like University of California, San Francisco, ushered Dr. Vinnay Prasad to the highest levels of government while firing those advocating for science-based medicine.
Do not support. Do not apply.
This institution is beneath you.
Reposted by CODE BLACK
The other thing that's interesting here is that the AMA responds *as an institution* - choosing self-preservation over truth, and self-preservation over individual members' values.
I mention this because it's a big factor in how this kind of political manipulation gets normalized.
I mention this because it's a big factor in how this kind of political manipulation gets normalized.
December 31, 2025 at 3:34 PM
The other thing that's interesting here is that the AMA responds *as an institution* - choosing self-preservation over truth, and self-preservation over individual members' values.
I mention this because it's a big factor in how this kind of political manipulation gets normalized.
I mention this because it's a big factor in how this kind of political manipulation gets normalized.
I’ve collected my Canada Healthwatch essays in one place.
A chronological record of physician migration, health policy, and institutional failure—written under a pseudonym, now indexed here.
@canadahealthwatch.ca
A chronological record of physician migration, health policy, and institutional failure—written under a pseudonym, now indexed here.
@canadahealthwatch.ca
Published Elsewhere: A Canada Healthwatch Series on Medicine, Migration, and System Collapse
Nine essays written under a pseudonym, tracing the flight of U.S. physicians, Canada’s policy choices, and the growing political assault on evidence-based care
substack.com
December 31, 2025 at 8:54 PM
I’ve collected my Canada Healthwatch essays in one place.
A chronological record of physician migration, health policy, and institutional failure—written under a pseudonym, now indexed here.
@canadahealthwatch.ca
A chronological record of physician migration, health policy, and institutional failure—written under a pseudonym, now indexed here.
@canadahealthwatch.ca
Reposted by CODE BLACK
Mehmet Oz recently visited the American Medical Association (AMA), where he threatened doctors to get in line, saying, “When the music stops and everyone has to sit down, guess who doesn’t get a chair? You.”
@canadahealthwatch.ca
@canadahealthwatch.ca
Why the AMA’s actions are raising alarms
Something is breaking inside of American medicine.
canadahealthwatch.ca
December 26, 2025 at 8:02 PM
Mehmet Oz recently visited the American Medical Association (AMA), where he threatened doctors to get in line, saying, “When the music stops and everyone has to sit down, guess who doesn’t get a chair? You.”
@canadahealthwatch.ca
@canadahealthwatch.ca
Reposted by CODE BLACK
HHS is trying to force Seattle Children's into doing a Sophie's choice of abandoning trans youth or see kids with cancer or other serious illness have their coverage and care disrupted. That's what this is about.
Hopefully, the courts put a quick stop to this like the subpoenas.
Hopefully, the courts put a quick stop to this like the subpoenas.
December 27, 2025 at 12:40 AM
HHS is trying to force Seattle Children's into doing a Sophie's choice of abandoning trans youth or see kids with cancer or other serious illness have their coverage and care disrupted. That's what this is about.
Hopefully, the courts put a quick stop to this like the subpoenas.
Hopefully, the courts put a quick stop to this like the subpoenas.
Mehmet Oz recently visited the American Medical Association (AMA), where he threatened doctors to get in line, saying, “When the music stops and everyone has to sit down, guess who doesn’t get a chair? You.”
@canadahealthwatch.ca
@canadahealthwatch.ca
Why the AMA’s actions are raising alarms
Something is breaking inside of American medicine.
canadahealthwatch.ca
December 26, 2025 at 8:02 PM
Mehmet Oz recently visited the American Medical Association (AMA), where he threatened doctors to get in line, saying, “When the music stops and everyone has to sit down, guess who doesn’t get a chair? You.”
@canadahealthwatch.ca
@canadahealthwatch.ca
“The Charging Party is a Christian. She believes that her body is a temple,
which the Bible commands her to keep pure. Her religious beliefs and practices do not permit abortion.”
storage.courtlistener.com/recap/gov.us...
which the Bible commands her to keep pure. Her religious beliefs and practices do not permit abortion.”
storage.courtlistener.com/recap/gov.us...
Federal agency sues Advocate Aurora over COVID vaccine mandate
The lawsuit comes as the independent federal agency aligns its priorities with President Donald Trump's administration.
madison.com
December 26, 2025 at 4:23 PM
“The Charging Party is a Christian. She believes that her body is a temple,
which the Bible commands her to keep pure. Her religious beliefs and practices do not permit abortion.”
storage.courtlistener.com/recap/gov.us...
which the Bible commands her to keep pure. Her religious beliefs and practices do not permit abortion.”
storage.courtlistener.com/recap/gov.us...
Reposted by CODE BLACK
Both in Canada and the U.S., governments explicitly chose to train fewer doctors. We’re still dealing with the fallout.
@canadahealthwatch.ca
@canadahealthwatch.ca
Canada’s doctor shortage is no accident
It was policy.
canadahealthwatch.ca
December 23, 2025 at 2:35 AM
Both in Canada and the U.S., governments explicitly chose to train fewer doctors. We’re still dealing with the fallout.
@canadahealthwatch.ca
@canadahealthwatch.ca
Imagine discovering a nursing home isn’t safe.
Now imagine that regulatory enforcement will likely depend more on the owners’ political status than on whether they broke the law.
That’s now happening everywhere in healthcare.
Now imagine that regulatory enforcement will likely depend more on the owners’ political status than on whether they broke the law.
That’s now happening everywhere in healthcare.
GOP operatives Jacob Wohl and Jack Burkman, convicted election fraudsters, were paid $960,000 in the second quarter to secure a pardon for a former nursing-home operator who defrauded the government of $38 million. Trump pardoned the man, Joseph Schwartz, last month.
Inside the New Fast Track to a Presidential Pardon
Even some of the president’s closest advisers have been surprised by a number of the recent series of pardons.
www.wsj.com
December 26, 2025 at 9:14 AM
Imagine discovering a nursing home isn’t safe.
Now imagine that regulatory enforcement will likely depend more on the owners’ political status than on whether they broke the law.
That’s now happening everywhere in healthcare.
Now imagine that regulatory enforcement will likely depend more on the owners’ political status than on whether they broke the law.
That’s now happening everywhere in healthcare.
Both in Canada and the U.S., governments explicitly chose to train fewer doctors. We’re still dealing with the fallout.
@canadahealthwatch.ca
@canadahealthwatch.ca
Canada’s doctor shortage is no accident
It was policy.
canadahealthwatch.ca
December 23, 2025 at 2:35 AM
Both in Canada and the U.S., governments explicitly chose to train fewer doctors. We’re still dealing with the fallout.
@canadahealthwatch.ca
@canadahealthwatch.ca
Reposted by CODE BLACK
modern authoritarian systems persist because ordinary people participate in small, meaningless lies to avoid friction.
this was written in 1978 but could have been written today.
this was written in 1978 but could have been written today.
December 13, 2025 at 10:33 PM
modern authoritarian systems persist because ordinary people participate in small, meaningless lies to avoid friction.
this was written in 1978 but could have been written today.
this was written in 1978 but could have been written today.
I just canceled my subscription to the @theatlantic.com. This isn’t just delusional, it’s dangerous. Don’t normalize fear mongering racists and if you think this is “censorship” you’re the fucking problem.
December 22, 2025 at 3:57 PM
I just canceled my subscription to the @theatlantic.com. This isn’t just delusional, it’s dangerous. Don’t normalize fear mongering racists and if you think this is “censorship” you’re the fucking problem.
Americans should NOT PAY their “student loans.” Why should they pay to work? Why is their interest being publicly traded on the NYSE?
Remind me, did the people in power incur massive debt to pursue their own American dream. No they didn’t. And neither should you.
Remind me, did the people in power incur massive debt to pursue their own American dream. No they didn’t. And neither should you.
Student Loans For 6.4 Million Borrowers Are Heading Toward A Dangerous ‘Cliff’
Many Americans are struggling with their student loans and millions are heading toward a default cliff, with potentially major financial consequences.
www.forbes.com
December 21, 2025 at 5:08 PM
Americans should NOT PAY their “student loans.” Why should they pay to work? Why is their interest being publicly traded on the NYSE?
Remind me, did the people in power incur massive debt to pursue their own American dream. No they didn’t. And neither should you.
Remind me, did the people in power incur massive debt to pursue their own American dream. No they didn’t. And neither should you.
Is anyone watching Pluribus? I have an idea about why it’s so popular but I want to know what you think.
Pluribus becomes Apple TV’s most watched show ever - 9to5Mac
After touting Pluribus as its biggest drama launch ever, Apple has now confirmed another milestone for the hit series.
9to5mac.com
December 14, 2025 at 4:10 PM
Is anyone watching Pluribus? I have an idea about why it’s so popular but I want to know what you think.
November 2022
Ranking member of Trump’s We Want Them Infected (WWTI) doctors laments the “The Rise of Biodigital Surveillance.”
Every accusation is a confession = projection (propaganda technique).
They’re doing it everywhere.
Look it up. Call it out.
@joho.bsky.social
Ranking member of Trump’s We Want Them Infected (WWTI) doctors laments the “The Rise of Biodigital Surveillance.”
Every accusation is a confession = projection (propaganda technique).
They’re doing it everywhere.
Look it up. Call it out.
@joho.bsky.social
December 14, 2025 at 3:52 PM
November 2022
Ranking member of Trump’s We Want Them Infected (WWTI) doctors laments the “The Rise of Biodigital Surveillance.”
Every accusation is a confession = projection (propaganda technique).
They’re doing it everywhere.
Look it up. Call it out.
@joho.bsky.social
Ranking member of Trump’s We Want Them Infected (WWTI) doctors laments the “The Rise of Biodigital Surveillance.”
Every accusation is a confession = projection (propaganda technique).
They’re doing it everywhere.
Look it up. Call it out.
@joho.bsky.social
Reposted by CODE BLACK
“You cannot protect patients in a system where the people claiming that “vaccines kill children” and “vaccines cause autism” are now controlling the very institutions responsible for national vaccine policy and scientific oversight.”
Canada Finally Changed Course. Now It Must Finish the Job.
As the United States hands its healthcare system to anti-vaxxers and disinformation doctors, Canada has started to move in the opposite direction — and must keep going if it wants to avoid the same.
codeblackdispatch.substack.com
December 10, 2025 at 4:45 PM
“You cannot protect patients in a system where the people claiming that “vaccines kill children” and “vaccines cause autism” are now controlling the very institutions responsible for national vaccine policy and scientific oversight.”
modern authoritarian systems persist because ordinary people participate in small, meaningless lies to avoid friction.
this was written in 1978 but could have been written today.
this was written in 1978 but could have been written today.
December 13, 2025 at 10:33 PM
modern authoritarian systems persist because ordinary people participate in small, meaningless lies to avoid friction.
this was written in 1978 but could have been written today.
this was written in 1978 but could have been written today.
Reposted by CODE BLACK
it gets worse.
Dr. Oz recently visited the AMA to threaten doctors to get in line, and the AMA supported it by silencing its members. This should be a national news story.
Dr. Oz recently visited the AMA to threaten doctors to get in line, and the AMA supported it by silencing its members. This should be a national news story.
Why the AMA’s actions are raising alarms
Something is breaking inside of American medicine.
canadahealthwatch.ca
December 11, 2025 at 10:42 PM
it gets worse.
Dr. Oz recently visited the AMA to threaten doctors to get in line, and the AMA supported it by silencing its members. This should be a national news story.
Dr. Oz recently visited the AMA to threaten doctors to get in line, and the AMA supported it by silencing its members. This should be a national news story.
Reposted by CODE BLACK
Tonight, I’m published in MSNBC—sorry, MS Now.
In this piece, I explain how the right-wing war on COVID mitigation measures and politicization of science led us to this moment.
www.ms.now/opinion/fda-...
In this piece, I explain how the right-wing war on COVID mitigation measures and politicization of science led us to this moment.
www.ms.now/opinion/fda-...
Opinion | The FDA’s anti-vax turn came out of the right-wing backlash to the Covid pandemic
Walker Bragman: The Food and Drug Administration — like other HHS agencies overseen by Robert F. Kennedy, Jr. — is no longer moored to evidence-based reality.
www.ms.now
December 12, 2025 at 11:03 PM
Tonight, I’m published in MSNBC—sorry, MS Now.
In this piece, I explain how the right-wing war on COVID mitigation measures and politicization of science led us to this moment.
www.ms.now/opinion/fda-...
In this piece, I explain how the right-wing war on COVID mitigation measures and politicization of science led us to this moment.
www.ms.now/opinion/fda-...
Reposted by CODE BLACK
The American Medical Association Has Lost Control of Its Own House codeblackdispatch.substack.com/p/the-americ... @codeblackamerica.bsky.social
𝗠𝗼𝗿𝗲 𝗻𝗲𝘄𝘀 ⇢ CanadaHealthwatch.ca 🍁
𝗠𝗼𝗿𝗲 𝗻𝗲𝘄𝘀 ⇢ CanadaHealthwatch.ca 🍁
November 20, 2025 at 9:16 PM
The American Medical Association Has Lost Control of Its Own House codeblackdispatch.substack.com/p/the-americ... @codeblackamerica.bsky.social
𝗠𝗼𝗿𝗲 𝗻𝗲𝘄𝘀 ⇢ CanadaHealthwatch.ca 🍁
𝗠𝗼𝗿𝗲 𝗻𝗲𝘄𝘀 ⇢ CanadaHealthwatch.ca 🍁