Elizabeth Lanphier
@ethicselizabeth.bsky.social
Philosopher & Clinical Ethicist | she/her | peds ethics, repro ethics, TIC, narrative med, feminist philosophy | Cincinnati (it’s cool despite Ohio) | Thoughts my own unless I am re-posting yours
Pinned
Reconsidering Off-Label Pediatric COVID-19 Vaccination
This Viewpoint discusses current factors to consider when recommending off-label pediatric COVID-19 vaccination.
jamanetwork.com
Anticipating changes to the 25/26 Covid-19 vaccine regulations @sefyfe.bsky.social & I updated our previous analysis of off-label pediatric Covid-19 vaccination. It is out now in @jamapediatrics.com & accessible here.
Many things happened since we submitted this! I'll touch on a few of them 🧵
Many things happened since we submitted this! I'll touch on a few of them 🧵
Reposted by Elizabeth Lanphier
The CDC and FDA have narrowed COVID-19 vaccine eligibility to seniors and high-risk groups but broader access remains possible through off-label use—a common practice in medicine that doctors can prescribe for purposes beyond initial FDA approval buff.ly/NyjIpSX #VaccinesWork 🩺
Off-label use of COVID-19 vaccines was once discouraged but has become common amid new guidelines
A cascade of changes to eligibility guidelines for the updated COVID-19 vaccines left Americans unsure whether they could still get the shot. That’s where off-label use comes in.
buff.ly
November 22, 2025 at 12:02 AM
The CDC and FDA have narrowed COVID-19 vaccine eligibility to seniors and high-risk groups but broader access remains possible through off-label use—a common practice in medicine that doctors can prescribe for purposes beyond initial FDA approval buff.ly/NyjIpSX #VaccinesWork 🩺
Reposted by Elizabeth Lanphier
The greater Cincinnati metropolitan area has a population of approximately 2.3 million people, and somehow every single one of them is on Bluesky.
November 26, 2025 at 2:50 AM
The greater Cincinnati metropolitan area has a population of approximately 2.3 million people, and somehow every single one of them is on Bluesky.
Reposted by Elizabeth Lanphier
These are the ridiculous things that happen in our country when a child is uninsured. Even short gaps in coverage put families at risk of huge, devastating medical bills.
I've been working on this issue for 20+ years now and I am tired of reading stories like this. We can do better.
I've been working on this issue for 20+ years now and I am tired of reading stories like this. We can do better.
Ambulance companies often negotiate with patients over large bills. “But you shouldn’t have to work so hard for it,” says an Ohio mom who was billed $9,250 for her toddler’s transport between hospitals.
kffhealthnews.org/news/article...
kffhealthnews.org/news/article...
Not Serious Enough To Turn on the Siren, Toddler’s 39-Mile Ambulance Ride Still Cost Over $9,000 - KFF Health News
After her son contracted a serious bacterial infection, an Ohio mother took the toddler to a nearby ER, and staffers there sent him to a children’s hospital in an ambulance. With no insurance, the fam...
kffhealthnews.org
November 26, 2025 at 2:02 AM
These are the ridiculous things that happen in our country when a child is uninsured. Even short gaps in coverage put families at risk of huge, devastating medical bills.
I've been working on this issue for 20+ years now and I am tired of reading stories like this. We can do better.
I've been working on this issue for 20+ years now and I am tired of reading stories like this. We can do better.
Reposted by Elizabeth Lanphier
one of the coolest things about ChatGPT is how you can actually just never use it. you can fill your whole entire life with simply not once using it. it's incredible.
November 25, 2025 at 4:15 PM
one of the coolest things about ChatGPT is how you can actually just never use it. you can fill your whole entire life with simply not once using it. it's incredible.
Reposted by Elizabeth Lanphier
Look, LLM use in academia isn't just students. You need to be speaking clearly with your collaborators about your writing standards from the beginning. Make people say out loud that they don't write their own articles anymore.
November 25, 2025 at 12:41 PM
Look, LLM use in academia isn't just students. You need to be speaking clearly with your collaborators about your writing standards from the beginning. Make people say out loud that they don't write their own articles anymore.
Reposted by Elizabeth Lanphier
In a unified front, organizations including the AMA, IDSA, AAP, the American Academy of Family Physicians, and the American College of Physicians joined forces to sound an alarm about recent changes to the CDC website.
https://www.medpagetoday.com/washington-watch/washington-watch/118661?trw=no
https://www.medpagetoday.com/washington-watch/washington-watch/118661?trw=no
'Dangerous': Medical Groups Slam CDC Changes on Vaccines and Autism
'Perpetuating misleading claims' will lead to confusion and distrust, the AMA says
www.medpagetoday.com
November 25, 2025 at 12:13 AM
In a unified front, organizations including the AMA, IDSA, AAP, the American Academy of Family Physicians, and the American College of Physicians joined forces to sound an alarm about recent changes to the CDC website.
https://www.medpagetoday.com/washington-watch/washington-watch/118661?trw=no
https://www.medpagetoday.com/washington-watch/washington-watch/118661?trw=no
Reposted by Elizabeth Lanphier
Also: “I will be holding a special town hall Q&A with Ayman Soliman, the children’s hospital chaplain arrested by ICE, smeared as a “terrorist,” and jailed for 73 days. He is now finally FREE! Join us on Tuesday at 2pm ET (11am PT / 7pm GMT). Watch out for the registration email later today.”
😱 GOP Freaks Out at Trump's 'Awful' Numbers
In today's 'First Draft' from @swin24.bsky.social - Trump’s ratings plummet, MTG resigns after a short stint in Trump enemy territory, and a US senator admonishes Israel’s detention of a Palestinian-American teen.
zeteo.com/p/gop-freaks...
In today's 'First Draft' from @swin24.bsky.social - Trump’s ratings plummet, MTG resigns after a short stint in Trump enemy territory, and a US senator admonishes Israel’s detention of a Palestinian-American teen.
zeteo.com/p/gop-freaks...
😱 GOP Freaks Out at Trump's 'Awful' Numbers
Republicans scramble as Trump’s ratings plummet, MTG resigns after a short stint in Trump enemy territory, and a US senator admonishes Israel’s detention of a Palestinian-American teen.
zeteo.com
November 24, 2025 at 2:31 PM
Also: “I will be holding a special town hall Q&A with Ayman Soliman, the children’s hospital chaplain arrested by ICE, smeared as a “terrorist,” and jailed for 73 days. He is now finally FREE! Join us on Tuesday at 2pm ET (11am PT / 7pm GMT). Watch out for the registration email later today.”
Reposted by Elizabeth Lanphier
this political scientist is here to tell you that in fact, vaccines work.
November 24, 2025 at 2:34 PM
this political scientist is here to tell you that in fact, vaccines work.
Reposted by Elizabeth Lanphier
A question for scientists (construed as broadly as you like) of BlueSky: What makes something data?
(Question inspired by a talk I listened to this morning, and of course I have thoughts, but I wanted to throw this out there first.)
(Question inspired by a talk I listened to this morning, and of course I have thoughts, but I wanted to throw this out there first.)
November 21, 2025 at 6:00 PM
A question for scientists (construed as broadly as you like) of BlueSky: What makes something data?
(Question inspired by a talk I listened to this morning, and of course I have thoughts, but I wanted to throw this out there first.)
(Question inspired by a talk I listened to this morning, and of course I have thoughts, but I wanted to throw this out there first.)
Reposted by Elizabeth Lanphier
Who invests in critical thinking and who invests in an AI chatbot to help you think will be really telling.
November 23, 2025 at 4:14 PM
Who invests in critical thinking and who invests in an AI chatbot to help you think will be really telling.
Reposted by Elizabeth Lanphier
“Fewer than 1/4 of U.S. physicians are members of the AMA. Its financial stability now depends mostly on [licensing fees for AMA-created billing codes]. Financial dependence on a single, government-supported revenue stream leaves the AMA highly vulnerable to political pressure.”
The AMA is starting to fracture under political pressure. Our analysis explains what changed this week, and why it matters.
Why the AMA’s actions are raising alarms canadahealthwatch.ca/2025/11/22/w... by @codeblackamerica.bsky.social, @nicktsergas.ca
November 23, 2025 at 1:58 PM
“Fewer than 1/4 of U.S. physicians are members of the AMA. Its financial stability now depends mostly on [licensing fees for AMA-created billing codes]. Financial dependence on a single, government-supported revenue stream leaves the AMA highly vulnerable to political pressure.”
Reposted by Elizabeth Lanphier
Starting the last day of PSA Around the World Central and Eastern Europe with a session on scientific understanding. @henkderegt.bsky.social is the first plenary speaker on understanding by an artificial system
The PSA Around the World 2025 is coming soon: Nov 6, 14 & 22 (online)!
Hosted by @philsci.bsky.social and @eenphilsci.bsky.social it highlights #philsci from, about, and connected to Central and Eastern Europe.
Great lineup, still time to register!
www.philsci.org/psa_around_t...
Hosted by @philsci.bsky.social and @eenphilsci.bsky.social it highlights #philsci from, about, and connected to Central and Eastern Europe.
Great lineup, still time to register!
www.philsci.org/psa_around_t...
PSA Around the World 2025 - Philosophy of Science Association
www.philsci.org
November 22, 2025 at 2:08 PM
Starting the last day of PSA Around the World Central and Eastern Europe with a session on scientific understanding. @henkderegt.bsky.social is the first plenary speaker on understanding by an artificial system
Reposted by Elizabeth Lanphier
Today in @theconversation.com with @sefyfe.bsky.social & just in time to help understand what is up with Covid-19 vaccine access this year as we head into the holiday season and folks want get vaccinated + have some accurate vax info to share with friends & family around the Thanksgiving table.
Off-label use of COVID-19 vaccines was once discouraged but has become common amid new guidelines
A cascade of changes to eligibility guidelines for the updated COVID-19 vaccines left Americans unsure whether they could still get the shot. That’s where off-label use comes in.
theconversation.com
November 21, 2025 at 9:52 PM
Today in @theconversation.com with @sefyfe.bsky.social & just in time to help understand what is up with Covid-19 vaccine access this year as we head into the holiday season and folks want get vaccinated + have some accurate vax info to share with friends & family around the Thanksgiving table.
Today in @theconversation.com with @sefyfe.bsky.social & just in time to help understand what is up with Covid-19 vaccine access this year as we head into the holiday season and folks want get vaccinated + have some accurate vax info to share with friends & family around the Thanksgiving table.
Off-label use of COVID-19 vaccines was once discouraged but has become common amid new guidelines
A cascade of changes to eligibility guidelines for the updated COVID-19 vaccines left Americans unsure whether they could still get the shot. That’s where off-label use comes in.
theconversation.com
November 21, 2025 at 9:52 PM
Today in @theconversation.com with @sefyfe.bsky.social & just in time to help understand what is up with Covid-19 vaccine access this year as we head into the holiday season and folks want get vaccinated + have some accurate vax info to share with friends & family around the Thanksgiving table.
Reposted by Elizabeth Lanphier
In @theconversation.com today with @ethicselizabeth.bsky.social on how access to the COVID-19 vaxx works now: Off-label use of COVID-19 vaccines was once discouraged but has become common amid new guidelines theconversation.com/off-label-us...
Off-label use of COVID-19 vaccines was once discouraged but has become common amid new guidelines
A cascade of changes to eligibility guidelines for the updated COVID-19 vaccines left Americans unsure whether they could still get the shot. That’s where off-label use comes in.
theconversation.com
November 21, 2025 at 2:17 PM
In @theconversation.com today with @ethicselizabeth.bsky.social on how access to the COVID-19 vaxx works now: Off-label use of COVID-19 vaccines was once discouraged but has become common amid new guidelines theconversation.com/off-label-us...
Reposted by Elizabeth Lanphier
I was talking to my students yesterday about how much we lose when we simply think of college as something to be got through.
Thinking a lot lately about the simple fact that college allows people to spend about 15 weeks immersed in a disciplinary conversation with an expert in that field. And what a special thing that is.
November 21, 2025 at 1:52 PM
I was talking to my students yesterday about how much we lose when we simply think of college as something to be got through.
Reposted by Elizabeth Lanphier
This is flying under the radar, but to deflect from concerns about his enabling RFK Jr, Cassidy is focusing on restricting abortion medication.
November 21, 2025 at 1:27 AM
This is flying under the radar, but to deflect from concerns about his enabling RFK Jr, Cassidy is focusing on restricting abortion medication.
Many of the same actors who've sought to undermine public health agencies & guidance as untrustworthy or not evidence-based are now in charge of them and bringing about the very things they've long claimed: that these agencies and their guidance are untrustworthy & not evidence-based.
i think the credibility of CDC is burned for a generation. it will be more feasible to focus our limited resources elsewhere. i don’t see CDC as being able to effectively lead public health responses or be involved in much policy at all after this
The latest update to US CDC's website on autism and vaccination is, sadly, a major blow to the credibility of this institution. Because it undermines faith in any impartiality. It's going to take a major effort to reconstruct its status, assuming it even survives the next few years.
November 20, 2025 at 9:34 PM
Many of the same actors who've sought to undermine public health agencies & guidance as untrustworthy or not evidence-based are now in charge of them and bringing about the very things they've long claimed: that these agencies and their guidance are untrustworthy & not evidence-based.
“To be accused of speaking too loudly about one injustice but not others by someone who does not care about any of them is to be told - simply - to keep quiet.”
- Omar El Akkad in his National Book Award winning One Day, Everyone Will Have Always Been Against This
- Omar El Akkad in his National Book Award winning One Day, Everyone Will Have Always Been Against This
November 20, 2025 at 4:35 PM
“To be accused of speaking too loudly about one injustice but not others by someone who does not care about any of them is to be told - simply - to keep quiet.”
- Omar El Akkad in his National Book Award winning One Day, Everyone Will Have Always Been Against This
- Omar El Akkad in his National Book Award winning One Day, Everyone Will Have Always Been Against This
Reposted by Elizabeth Lanphier
CDC Updates Vaccine Safety Page to Promote Vaccine Misinformation, Cites Kennedy’s Anti-Vax Allies
www.importantcontext.news/p/cdc-change...
www.importantcontext.news/p/cdc-change...
CDC Updates Vaccine Safety Page to Promote Vaccine Misinformation, Cites Kennedy’s Anti-Vax Allies
It is the latest move by Robert Kennedy Jr.’s Department of Health and Human Services to undermine vaccines.
www.importantcontext.news
November 20, 2025 at 11:32 AM
CDC Updates Vaccine Safety Page to Promote Vaccine Misinformation, Cites Kennedy’s Anti-Vax Allies
www.importantcontext.news/p/cdc-change...
www.importantcontext.news/p/cdc-change...
Reposted by Elizabeth Lanphier
This is...sort of brilliant.
November 19, 2025 at 12:56 PM
This is...sort of brilliant.
Reposted by Elizabeth Lanphier
Bill requiring anti-abortion video in Ohio high schools heads to House floor
by Jo Ingles
www.statenews.org/government-p...
by Jo Ingles
www.statenews.org/government-p...
Bill requiring anti-abortion video in Ohio high schools heads to House floor
The Ohio House will soon vote on a Republican bill that would require students to see videos on fetal development—which opponents say is anti-abortion propaganda.
www.statenews.org
November 19, 2025 at 11:29 AM
Bill requiring anti-abortion video in Ohio high schools heads to House floor
by Jo Ingles
www.statenews.org/government-p...
by Jo Ingles
www.statenews.org/government-p...
Reposted by Elizabeth Lanphier
Ahead of the upcoming ACIP meeting on the child immunization schedule, it’s important to remember immunizations are about more than individual decisions — immunizations affect communities, including babies too young to be vaccinated
Utah health officials discovered a person infected with measles visited a Logan medical clinic, where 11 vulnerable babies were exposed, launching a race to get the infants preventative treatment.
Nearly a dozen Utah infants were exposed to measles, triggering a race for preventative treatment
Utah health officials discovered a person infected with measles visited a Logan medical clinic, where 11 vulnerable babies were exposed, launching a race to get the infants preventative treatment.
www.sltrib.com
November 18, 2025 at 2:40 PM
Ahead of the upcoming ACIP meeting on the child immunization schedule, it’s important to remember immunizations are about more than individual decisions — immunizations affect communities, including babies too young to be vaccinated
Reposted by Elizabeth Lanphier
"Managing Competing Interests Between Appointed Surrogates and Extended Family in End-of-Life Care"
Physician, ethicist, and social worker perspectives on case requiring resolving decision-making challenges for an incapacitated young adult patient in a pediatric hospital.
Physician, ethicist, and social worker perspectives on case requiring resolving decision-making challenges for an incapacitated young adult patient in a pediatric hospital.
Managing Competing Interests Between Appointed Surrogates and Extended Family in End-of-Life Care
This Ethics Rounds article brings together perspectives from a clinical ethicist, 2 resident physicians in pediatrics, and a social worker on a case involving a terminally ill, intubated, and sedated ...
publications.aap.org
November 13, 2025 at 2:45 PM
"Managing Competing Interests Between Appointed Surrogates and Extended Family in End-of-Life Care"
Physician, ethicist, and social worker perspectives on case requiring resolving decision-making challenges for an incapacitated young adult patient in a pediatric hospital.
Physician, ethicist, and social worker perspectives on case requiring resolving decision-making challenges for an incapacitated young adult patient in a pediatric hospital.
Reposted by Elizabeth Lanphier
“The journal’s website will remain online with all content freely available, ‘in keeping with our guiding premise that ethics inquiry is a public good,’ Audiey C. Kao, editor-in-chief of the AMA Journal of Ethics”
The @ama-assn.org will cease publication of its ethics journal at the end of this year.
AMA ethics journal shutters after 26 years
The American Medical Association will cease publication of its ethics journal at the end of this year. The AMA Journal of Ethics, an open access, peer-reviewed journal was founded in 1999 und…
retractionwatch.com
November 14, 2025 at 12:19 AM
“The journal’s website will remain online with all content freely available, ‘in keeping with our guiding premise that ethics inquiry is a public good,’ Audiey C. Kao, editor-in-chief of the AMA Journal of Ethics”