@janprobst.bsky.social
@janprobst.bsky.social
Jan Probst
~ 40 years health services research, mostly into rural issues
Guardian of Sam the rural health advoCATe.
Bibliography:
https://www.ncbi.nlm.nih.gov/myncbi/1HMPkKfOyD5kE/bibliography/public/
~ 40 years health services research, mostly into rural issues
Guardian of Sam the rural health advoCATe.
Bibliography:
https://www.ncbi.nlm.nih.gov/myncbi/1HMPkKfOyD5kE/bibliography/public/
Reposted by @janprobst.bsky.social
You should call this number.
I’ve been super sad about the holidays and how much my family has lost these past few years and this totally made my night. 🥹
I’ve been super sad about the holidays and how much my family has lost these past few years and this totally made my night. 🥹
this is not our customer service number. it’s just my voicemail inbox.
you’re welcome to call. i hope you do.
216-361-6772.
you’re welcome to call. i hope you do.
216-361-6772.
November 27, 2025 at 1:00 AM
You should call this number.
I’ve been super sad about the holidays and how much my family has lost these past few years and this totally made my night. 🥹
I’ve been super sad about the holidays and how much my family has lost these past few years and this totally made my night. 🥹
Sam the rural health advoCATe loves veterans and loves analyses that include rurality. However, the definitions documented in this study appear incorrect (screenshot). RUCAs 1.0 - 3.0 are urban, per ERS/USDA.
#PowerOfRuralCats
jamanetwork.com/journals/jam...
#PowerOfRuralCats
jamanetwork.com/journals/jam...
November 27, 2025 at 1:15 AM
Sam the rural health advoCATe loves veterans and loves analyses that include rurality. However, the definitions documented in this study appear incorrect (screenshot). RUCAs 1.0 - 3.0 are urban, per ERS/USDA.
#PowerOfRuralCats
jamanetwork.com/journals/jam...
#PowerOfRuralCats
jamanetwork.com/journals/jam...
Reposted by @janprobst.bsky.social
Good god, am I going to have to spout my 💩 about how stupid “all male panels”, or “manels” are? Again?
Don’t start this crap at academic conferences again, boys
Don’t start this crap at academic conferences again, boys
November 26, 2025 at 1:13 AM
Good god, am I going to have to spout my 💩 about how stupid “all male panels”, or “manels” are? Again?
Don’t start this crap at academic conferences again, boys
Don’t start this crap at academic conferences again, boys
Reposted by @janprobst.bsky.social
Apply to the 2026-2027 Morris Fishbein Fellowship in Medical Editing for the chance to develop your skills in all facets of editing and publishing a major medical journal.
Applicants must hold an MD or DO degree to be eligible.
🔗 ja.ma/3IpH1OL
Applicants must hold an MD or DO degree to be eligible.
🔗 ja.ma/3IpH1OL
November 25, 2025 at 6:00 PM
Apply to the 2026-2027 Morris Fishbein Fellowship in Medical Editing for the chance to develop your skills in all facets of editing and publishing a major medical journal.
Applicants must hold an MD or DO degree to be eligible.
🔗 ja.ma/3IpH1OL
Applicants must hold an MD or DO degree to be eligible.
🔗 ja.ma/3IpH1OL
New research shared by Sam the rural health advoCATe.
Basically, bigger facilities with more resources participate in the Medicare Shared Savings Program.
@ruprihealth.bsky.social
www.ruralhealthresearch.org/alerts/681
#PowerOfRuralCats
Basically, bigger facilities with more resources participate in the Medicare Shared Savings Program.
@ruprihealth.bsky.social
www.ruralhealthresearch.org/alerts/681
#PowerOfRuralCats
RHCs and CAHs Participating in the Medicare Shared Savings Program (MSSP): Characteristics of the Providers and Communities
Research Alert from the Rural Health Research Gateway for: RHCs and CAHs Participating in the Medicare Shared Savings Program (MSSP): Characteristics of the Providers and Communities
www.ruralhealthresearch.org
November 25, 2025 at 4:37 PM
New research shared by Sam the rural health advoCATe.
Basically, bigger facilities with more resources participate in the Medicare Shared Savings Program.
@ruprihealth.bsky.social
www.ruralhealthresearch.org/alerts/681
#PowerOfRuralCats
Basically, bigger facilities with more resources participate in the Medicare Shared Savings Program.
@ruprihealth.bsky.social
www.ruralhealthresearch.org/alerts/681
#PowerOfRuralCats
Sharing these two commentators. Indeed, the downstream effects of rural hospital closures are often ignored, which hisses Sam the rural health advoCATe off.
#PowerOfRuralCats
#PowerOfRuralCats
This piece is really good- on why rural hospitals close, why there are a lot more closures coming, and what happens next (accelerating economic and population decline)
When the hospital leaves town www.fiercehealthcare.com/hospitals/wh...
November 25, 2025 at 2:54 AM
Sharing these two commentators. Indeed, the downstream effects of rural hospital closures are often ignored, which hisses Sam the rural health advoCATe off.
#PowerOfRuralCats
#PowerOfRuralCats
Excellent discussion, notes Sam the rural health advoCATe, but it neglects to discuss the degree to which the issues noted are worse for rural kittens. We need more rural pediatric training.
#PowerOdRuralCats
www.beckershospitalreview.com/care-coordin...
#PowerOdRuralCats
www.beckershospitalreview.com/care-coordin...
www.beckershospitalreview.com
November 24, 2025 at 11:19 PM
Excellent discussion, notes Sam the rural health advoCATe, but it neglects to discuss the degree to which the issues noted are worse for rural kittens. We need more rural pediatric training.
#PowerOdRuralCats
www.beckershospitalreview.com/care-coordin...
#PowerOdRuralCats
www.beckershospitalreview.com/care-coordin...
Another potential model program, shared by Sam the rural health advoCATe. Let's try to find things to be thankful for...and recruiting folks who will return to rural is evidence based.
#PowerOfRuralCats
www.live5news.com/2025/11/24/u...
#PowerOfRuralCats
www.live5news.com/2025/11/24/u...
USC program recruits rural natives to address Lowcountry mental health crisis
Right now, those who need a therapist in rural South Carolina might wait months, or drive hours for care; a new program could change that reality for thousands of families.
www.live5news.com
November 24, 2025 at 4:31 PM
Another potential model program, shared by Sam the rural health advoCATe. Let's try to find things to be thankful for...and recruiting folks who will return to rural is evidence based.
#PowerOfRuralCats
www.live5news.com/2025/11/24/u...
#PowerOfRuralCats
www.live5news.com/2025/11/24/u...
New research shared by Sam the rural health advoCATe. With rural hospitals already in distress, Medicaid cuts in the OBBB could be a final blow for many communities.
@ruralhealth.bsky.social
#PowerOfRuralCats
www.ruralhealthresearch.org/alerts/
@ruralhealth.bsky.social
#PowerOfRuralCats
www.ruralhealthresearch.org/alerts/
Rural Hospital Financial Distress Index: Relative Risk in 2025
Research Alert from the Rural Health Research Gateway for: Rural Hospital Financial Distress Index: Relative Risk in 2025
www.ruralhealthresearch.org
November 24, 2025 at 4:19 PM
New research shared by Sam the rural health advoCATe. With rural hospitals already in distress, Medicaid cuts in the OBBB could be a final blow for many communities.
@ruralhealth.bsky.social
#PowerOfRuralCats
www.ruralhealthresearch.org/alerts/
@ruralhealth.bsky.social
#PowerOfRuralCats
www.ruralhealthresearch.org/alerts/
A positive story, approved by Sam the rural health advoCATe.
#PowerOfRuralCats
dailyyonder.com/a-montana-ho...
#PowerOfRuralCats
dailyyonder.com/a-montana-ho...
A Montana Hospital is Training Future Rural Providers | The Daily Yonder
As rural areas across the country face worsening provider shortages and reductions in health care services, one community hospital in Billings, Montana,
dailyyonder.com
November 24, 2025 at 2:31 PM
A positive story, approved by Sam the rural health advoCATe.
#PowerOfRuralCats
dailyyonder.com/a-montana-ho...
#PowerOfRuralCats
dailyyonder.com/a-montana-ho...
Reposted by @janprobst.bsky.social
this man is 40 years old
November 24, 2025 at 2:48 AM
this man is 40 years old
Reposted by @janprobst.bsky.social
And keep in mind, the 4-day countdown (before you it's time to throw away the leftovers) begins when you cook the food, not when you serve it.
So the "make-ahead" dishes actually need to be handled appropriately. #FoodSafety
So the "make-ahead" dishes actually need to be handled appropriately. #FoodSafety
November 23, 2025 at 9:07 PM
And keep in mind, the 4-day countdown (before you it's time to throw away the leftovers) begins when you cook the food, not when you serve it.
So the "make-ahead" dishes actually need to be handled appropriately. #FoodSafety
So the "make-ahead" dishes actually need to be handled appropriately. #FoodSafety
Rural kittens need Medicaid, says Sam the rural health advoCATe. With 62% of rural pediatric hospitalizations funded by Medicaid, and 1 in 4 rural hospitals hitting 75% Medicaid, cuts in the OBBB will have appalling results.
@jamapediatrics
#PowerOfRuralCats
jamanetwork.com/journals/jam...
@jamapediatrics
#PowerOfRuralCats
jamanetwork.com/journals/jam...
Medicaid and Child Health—Threats and Opportunities
Over the past 150 years, US government leaders have slowly but surely expanded access to health insurance and medical care for children. The Medicaid program represents federal and state governments’ ...
jamanetwork.com
November 23, 2025 at 3:32 PM
Rural kittens need Medicaid, says Sam the rural health advoCATe. With 62% of rural pediatric hospitalizations funded by Medicaid, and 1 in 4 rural hospitals hitting 75% Medicaid, cuts in the OBBB will have appalling results.
@jamapediatrics
#PowerOfRuralCats
jamanetwork.com/journals/jam...
@jamapediatrics
#PowerOfRuralCats
jamanetwork.com/journals/jam...
Rural is taking multiple hits right now, notes Sam the rural health advoCATe. The ones that aren’t as neatly dramatic also count.
#PowerOfRuralCats
#PowerOfRuralCats
KYUK is a scrappy public radio station in Alaska. When Congress went after NPR, public radio stations like this one took the hit.
It broadcasts to indigenous people living in the tundra, and without public funding, it's facing massive layoffs.
It broadcasts to indigenous people living in the tundra, and without public funding, it's facing massive layoffs.
In rural America, public radio saves lives
In remote Alaska, public radio station KYUK is crucial during natural disasters. Without federal funding, how will it survive?
www.motherjones.com
November 23, 2025 at 3:03 PM
Rural is taking multiple hits right now, notes Sam the rural health advoCATe. The ones that aren’t as neatly dramatic also count.
#PowerOfRuralCats
#PowerOfRuralCats
Reposted by @janprobst.bsky.social
This is the masculinity the world needs, fellas. Ten of these for every Andrew Tate could fix us.
Going to end on one of the most beautiful commercials ever made with the reminder and a call to remember the small things. They make a big difference to others.
Love all, help all.
Go Jackets.
Love all, help all.
Go Jackets.
November 21, 2025 at 11:24 PM
This is the masculinity the world needs, fellas. Ten of these for every Andrew Tate could fix us.
Reposted by @janprobst.bsky.social
Heads up! If you are interested in pursuing graduate studies in survey and data science (read: all things quantitative social science) at the University of Michigan, please check out these upcoming info sessions!
November 21, 2025 at 9:24 PM
Heads up! If you are interested in pursuing graduate studies in survey and data science (read: all things quantitative social science) at the University of Michigan, please check out these upcoming info sessions!
Reposted by @janprobst.bsky.social
Join NHCHC and the National Center for Health in Public Housing (NCHPH) Dec. 10 at 1 p.m. CST to talk about smoking cessation programs and delivery models that Health Centers can implement to improve outcomes for their patients. Register:
https://ow.ly/eBE150XvUL5
https://ow.ly/eBE150XvUL5
Register Now for Promising Practices in Tobacco Use Screening and Cessation, Webinar on Dec. 10th
The National Health Care for the Homeless Council (NHCHC) and the National Center for Health in Public Housing (NCHPH) invite you to join an engaging webinar highlighting innovative and effective approaches to address tobacco use
ow.ly
November 21, 2025 at 9:05 PM
Join NHCHC and the National Center for Health in Public Housing (NCHPH) Dec. 10 at 1 p.m. CST to talk about smoking cessation programs and delivery models that Health Centers can implement to improve outcomes for their patients. Register:
https://ow.ly/eBE150XvUL5
https://ow.ly/eBE150XvUL5
This study has interesting implications for rural, notes Sam the rural health advoCATe. Smoking is more prevalent, and cancer mortality higher, in rural counties. Expanded screening might address this disparity.
#PowerOfRuralCats
jamanetwork.com/journals/jam...
#PowerOfRuralCats
jamanetwork.com/journals/jam...
Age-Based Screening for Lung Cancer Surveillance in the US
This cohort study examines the proportion, clinical characteristics, and survival of patients with lung cancer who meet or are excluded from the current US Preventive Services Task Force criteria.
jamanetwork.com
November 21, 2025 at 9:37 PM
This study has interesting implications for rural, notes Sam the rural health advoCATe. Smoking is more prevalent, and cancer mortality higher, in rural counties. Expanded screening might address this disparity.
#PowerOfRuralCats
jamanetwork.com/journals/jam...
#PowerOfRuralCats
jamanetwork.com/journals/jam...
Reposted by @janprobst.bsky.social
NRHA’s Zil Joyce Dixon Romero spoke at a Kentucky RHA event this week, where he met with state lawmakers and the head of the office of rural health. Also pictured: the NRHD proclamation that NRHA and NOSORH worked to get issued in dozens of states across the country. #gorural
November 21, 2025 at 6:51 PM
NRHA’s Zil Joyce Dixon Romero spoke at a Kentucky RHA event this week, where he met with state lawmakers and the head of the office of rural health. Also pictured: the NRHD proclamation that NRHA and NOSORH worked to get issued in dozens of states across the country. #gorural
Reposted by @janprobst.bsky.social
The @lowninstitute.bsky.social awards the Bernard Lown Award for Social Responsibility each year to a young clinician who demonstrates bold leadership in social justice and health care reform. The award comes with a $25,000 prize.
Nominations due January 15, 2026: lowninstitute.org/projects/ber...
Nominations due January 15, 2026: lowninstitute.org/projects/ber...
Bernard Lown Award for Social Responsibility - Lown Institute
To honor the memory of Dr. Lown and because our society needs more leaders like him, we have created the Bernard Lown Award for Social Responsibility (BLASR).
lowninstitute.org
November 21, 2025 at 4:09 PM
The @lowninstitute.bsky.social awards the Bernard Lown Award for Social Responsibility each year to a young clinician who demonstrates bold leadership in social justice and health care reform. The award comes with a $25,000 prize.
Nominations due January 15, 2026: lowninstitute.org/projects/ber...
Nominations due January 15, 2026: lowninstitute.org/projects/ber...
Sam the rural health advoCATe is hissed off when actions are taken that will make the most disadvantaged, and most rural, population in the U.S. even *more* disadvantaged.
#PowerOfRuralCats
#PowerOfRuralCats
November 21, 2025 at 5:10 PM
Sam the rural health advoCATe is hissed off when actions are taken that will make the most disadvantaged, and most rural, population in the U.S. even *more* disadvantaged.
#PowerOfRuralCats
#PowerOfRuralCats
The rural local public health workforce differs from its urban counterpart, shares Sam the rural health advoCATe. A larger proportion of rural workers are nearing retirement, indicating the need for training & recruiting for rural public health.
#PowerOfRuralCats
journals.lww.com/jphmp/fullte...
#PowerOfRuralCats
journals.lww.com/jphmp/fullte...
journals.lww.com
November 21, 2025 at 2:24 PM
The rural local public health workforce differs from its urban counterpart, shares Sam the rural health advoCATe. A larger proportion of rural workers are nearing retirement, indicating the need for training & recruiting for rural public health.
#PowerOfRuralCats
journals.lww.com/jphmp/fullte...
#PowerOfRuralCats
journals.lww.com/jphmp/fullte...
Rural advocates have to follow this "transformation" project very closely, notes Sam the rural health advoCATe. The people writing these provisions may not have rural as their focus.
#PowerOfRuralCats
#PowerOfRuralCats
This is highly misleading. CMS exercised significant discretion in the design of the Rural Health Transformation Program (RHTP) and made a number of substantive choices which were not compelled by Congress. Here are just a few examples. 1/6
Kennedy is getting grilled by governors on the Rural Health Fund and concerns about the fairness of how the $50 billion will be distributed. He responded by distancing himself from it, saying that the House and Senate decided how the program works and he won't be able to change it.
November 21, 2025 at 2:15 PM
Rural advocates have to follow this "transformation" project very closely, notes Sam the rural health advoCATe. The people writing these provisions may not have rural as their focus.
#PowerOfRuralCats
#PowerOfRuralCats
Reposted by @janprobst.bsky.social
Amazing discussion right now in a small corner of doctor FB about the apparent enshittification of AI scribes. Especially the free versions.
This revolutionary time saver now requires extra time to fact check the note.
Don't lose your note writing skills, friends! Tech will not save us. #medsky
This revolutionary time saver now requires extra time to fact check the note.
Don't lose your note writing skills, friends! Tech will not save us. #medsky
November 21, 2025 at 12:07 PM
Amazing discussion right now in a small corner of doctor FB about the apparent enshittification of AI scribes. Especially the free versions.
This revolutionary time saver now requires extra time to fact check the note.
Don't lose your note writing skills, friends! Tech will not save us. #medsky
This revolutionary time saver now requires extra time to fact check the note.
Don't lose your note writing skills, friends! Tech will not save us. #medsky