MarkH
@markhoofnagle.medsky.social
Trauma Surgeon. Basic Scientist. UVA/UMD/UPenn. Now WashU/STL. Blocking is curating.
Pinned
MarkH
@markhoofnagle.medsky.social
· Nov 12
So I decided to contribute.
People here are skeptical thinkers from a variety of fields not just medicine - including law, journalism and academia.
Let me know who I missed. go.bsky.app/P8Vnf7M
People here are skeptical thinkers from a variety of fields not just medicine - including law, journalism and academia.
Let me know who I missed. go.bsky.app/P8Vnf7M
I was going to have Mexican tonight but I can not account for Santa Anna’s questionable embrace of dictatorial tactics and early support for the crown.
November 25, 2025 at 12:40 AM
I was going to have Mexican tonight but I can not account for Santa Anna’s questionable embrace of dictatorial tactics and early support for the crown.
Honestly they should shutter the Atlantic for this travesty. This tripe should haunt them for all time.
Over many interviews, Robert F. Kennedy Jr. told Michael Scherer about how he plans to remake America’s public-health system. Can he lead the scientific establishment he’s spent much of his life crusading against?
Read more in our new cover story: theatln.tc/q9hXxlbM
Read more in our new cover story: theatln.tc/q9hXxlbM
November 24, 2025 at 8:32 PM
Honestly they should shutter the Atlantic for this travesty. This tripe should haunt them for all time.
Wow. After a couple weeks with no political texts today I got 4!
I did a raft of f yous to all. Maybe it will buy me another few weeks of peace.
I did a raft of f yous to all. Maybe it will buy me another few weeks of peace.
November 24, 2025 at 2:20 AM
Wow. After a couple weeks with no political texts today I got 4!
I did a raft of f yous to all. Maybe it will buy me another few weeks of peace.
I did a raft of f yous to all. Maybe it will buy me another few weeks of peace.
Guess what NIH funded friends. No more paylines! This will be replaced by an entirely opaque system that appears to bool down to “whatever we want.”
They have destroyed the meritorious peer review system. Score will just be “considered”.
grants.nih.gov/news-events/...
They have destroyed the meritorious peer review system. Score will just be “considered”.
grants.nih.gov/news-events/...
Implementing a Unified NIH Funding Strategy to Guide Consistent and Clearer Award Decisions | Grants & Funding
grants.nih.gov
November 22, 2025 at 12:51 AM
Guess what NIH funded friends. No more paylines! This will be replaced by an entirely opaque system that appears to bool down to “whatever we want.”
They have destroyed the meritorious peer review system. Score will just be “considered”.
grants.nih.gov/news-events/...
They have destroyed the meritorious peer review system. Score will just be “considered”.
grants.nih.gov/news-events/...
Reposted by MarkH
Anyone know about LSU's Pennington Biomedical Research Center & why they'd be keen to appoint Malone? Hard to believe he didn't have insiders advocating for him.
Status they afforded him aside, Malone now has a formal institution to apply for research grants/contracts through. 🛟🧪
Status they afforded him aside, Malone now has a formal institution to apply for research grants/contracts through. 🛟🧪
November 19, 2025 at 12:27 AM
Anyone know about LSU's Pennington Biomedical Research Center & why they'd be keen to appoint Malone? Hard to believe he didn't have insiders advocating for him.
Status they afforded him aside, Malone now has a formal institution to apply for research grants/contracts through. 🛟🧪
Status they afforded him aside, Malone now has a formal institution to apply for research grants/contracts through. 🛟🧪
In a thread of worst sports photoshoots ever (recommend) I caught this one and thought “aww. Kinda cute.” Then the intrusive thoughts, “did he deflate the goat?”
November 19, 2025 at 12:43 AM
In a thread of worst sports photoshoots ever (recommend) I caught this one and thought “aww. Kinda cute.” Then the intrusive thoughts, “did he deflate the goat?”
Reposted by MarkH
Really ties all the threads together, this one
Andrew Johnson — a Jan. 6 rioter who went by "Am🇺🇸rican T🇺🇸rrorist” on Elon Musk’s platform — has been arrested on child molestation charges, with police saying he used the promise of a taxpayer-funded payout from Trump's DOJ to try and keep one of the victims silent.
theintercept.com/2025/11/17/p...
theintercept.com/2025/11/17/p...
Pardoned Capitol Rioter Tried to Hush Child Sex Victim With Promise of Jan. 6 Reparation Money, Police Say
Pardoned Capitol rioter Andrew Johnson tried to keep a child sex abuse victim quiet with claimed $10 million Jan. 6 reparations, police say.
theintercept.com
November 18, 2025 at 3:15 PM
Really ties all the threads together, this one
Reposted by MarkH
The legacy of these doctors and anyone who legitimized them along the way.
November 18, 2025 at 5:00 PM
The legacy of these doctors and anyone who legitimized them along the way.
Reposted by MarkH
NEW: ICE remains mum regarding prosecutor exposed as white supremacist.
"They want to signal to the other white supremacists...out there that under this administration things are going to be different and you’re not going to have to worry about losing your job"
www.texasobserver.org/ice-white-su...
"They want to signal to the other white supremacists...out there that under this administration things are going to be different and you’re not going to have to worry about losing your job"
www.texasobserver.org/ice-white-su...
ICE Still Won't Answer Questions About Prosecutor with White Supremacist X Account
Congressman Marc Veasey arrived at an ICE facility Monday in his latest attempt to follow up on the Observer's reporting.
www.texasobserver.org
October 20, 2025 at 6:23 PM
NEW: ICE remains mum regarding prosecutor exposed as white supremacist.
"They want to signal to the other white supremacists...out there that under this administration things are going to be different and you’re not going to have to worry about losing your job"
www.texasobserver.org/ice-white-su...
"They want to signal to the other white supremacists...out there that under this administration things are going to be different and you’re not going to have to worry about losing your job"
www.texasobserver.org/ice-white-su...
Reposted by MarkH
MUST WATCH: Meet the neo-Nazi targeting kids online, teaching them to hate and to prepare to kill www.newschannel5.com/news/newscha...
Meet the neo-Nazi targeting kids online, teaching them to hate and to prepare to kill
A Phil Williams NC5 Investigates report on a neo-Nazi targeting kids online, telling them to prepare for a 'race war'
www.newschannel5.com
November 18, 2025 at 12:26 AM
MUST WATCH: Meet the neo-Nazi targeting kids online, teaching them to hate and to prepare to kill www.newschannel5.com/news/newscha...
This was renewed for another season. This monologue notably is total bullshit from start to finish and typical of the style of the director where a common white guy explains how it really works to an educated woman (a PhD in this case IIRC). Billy Bob has turned shitheel.
Check out the @climatetown.bsky.social response to this episode if you haven’t. It’s good! youtu.be/wBC_bug5DIQ?...
How Oil Propaganda Sneaks Into TV Shows | Climate Town
YouTube video by Climate Town
youtu.be
November 17, 2025 at 9:23 PM
This was renewed for another season. This monologue notably is total bullshit from start to finish and typical of the style of the director where a common white guy explains how it really works to an educated woman (a PhD in this case IIRC). Billy Bob has turned shitheel.
He’s like Hitler in the bunker at this point moving around imaginary German units on a map while his generals give each other sidelong glances.
Trump on if he'll sign an Epstein files release bill: "We have nothing to do with Epstein. The Democrats do. All of his friends were Democrats. You look at this Reid Hoffman, Larry Summers, Clinton... all I want is I want for people to recognize the great job I've done on pricing, on affordability."
November 17, 2025 at 8:29 PM
He’s like Hitler in the bunker at this point moving around imaginary German units on a map while his generals give each other sidelong glances.
Techbros just invented Chucky.
“Marketed for kids 3-12, Kumma gave step-by-step instructions on a common “knot for beginners” who want to tie up their partner. Another time, the AI explored the idea of introducing spanking into a sexually-charged teacher-student dynamic, which is obviously ghoulishly inappropriate for young kids”
"Powered by OpenAI’s GPT-4o model by default...tests repeatedly showed that the AI toy dropped its guardrails the longer a conversation went on, until hitting rock bottom on incredibly disturbing topics."
November 17, 2025 at 7:26 AM
Techbros just invented Chucky.
These videos should disqualify Pritzker from National politics.
at one point, i watched a cook county sheriff’s officer (who appears to be in charge) point out a priest in the crowd.
he and a couple officers then went into the crowd , dragged him into the street, and arrested him.
situation is still tense as crowd jostles with police to get into the street.
he and a couple officers then went into the crowd , dragged him into the street, and arrested him.
situation is still tense as crowd jostles with police to get into the street.
November 17, 2025 at 7:19 AM
These videos should disqualify Pritzker from National politics.
Reposted by MarkH
Good news: If you would like to watch Ricky Jay and His 52 Assistants on YouTube I have done a painstaking 4k upscale of this. www.youtube.com/watch?v=x0gW...
November 17, 2025 at 2:06 AM
Good news: If you would like to watch Ricky Jay and His 52 Assistants on YouTube I have done a painstaking 4k upscale of this. www.youtube.com/watch?v=x0gW...
Reposted by MarkH
New paper reminds us yet again: HOMICIDE is the leading cause of death for pregnant women.
Gun violence & partner violence are related.
All-cause homicide & firearm homicide of pregnant women are higher, in states w/ higher calculated firearm ownership (1/x 🧵
jamanetwork.com/journals/jam...
Gun violence & partner violence are related.
All-cause homicide & firearm homicide of pregnant women are higher, in states w/ higher calculated firearm ownership (1/x 🧵
jamanetwork.com/journals/jam...
Firearm Homicide in Pregnant Women and State-Level Firearm Ownership
This cross-sectional study examines firearm homicide rates in pregnant compared with nonpregnant women and whether estimated state-level firearm ownership is associated with homicide deaths among preg...
jamanetwork.com
November 17, 2025 at 3:15 AM
New paper reminds us yet again: HOMICIDE is the leading cause of death for pregnant women.
Gun violence & partner violence are related.
All-cause homicide & firearm homicide of pregnant women are higher, in states w/ higher calculated firearm ownership (1/x 🧵
jamanetwork.com/journals/jam...
Gun violence & partner violence are related.
All-cause homicide & firearm homicide of pregnant women are higher, in states w/ higher calculated firearm ownership (1/x 🧵
jamanetwork.com/journals/jam...
As they single out this priest for violence he asks Pritzker why this is happening. It’s happening because there are no good billionaires. There’s even a bible quote about it.
Pritzker is no savior. He’s not even on our side.
Pritzker is no savior. He’s not even on our side.
November 16, 2025 at 11:14 PM
As they single out this priest for violence he asks Pritzker why this is happening. It’s happening because there are no good billionaires. There’s even a bible quote about it.
Pritzker is no savior. He’s not even on our side.
Pritzker is no savior. He’s not even on our side.
Reposted by MarkH
Tomorrow, the AMA is giving a platform to Dr. Oz — CMS Administrator destroying Medicare and Medicaid.
Residents can’t freely dissent or the AMA will punish them.
This isn’t “dialogue.” It’s coercion.
We wrote the position statement the AMA won’t.
Document link:
drive.proton.me/urls/9CR5SB3...
Residents can’t freely dissent or the AMA will punish them.
This isn’t “dialogue.” It’s coercion.
We wrote the position statement the AMA won’t.
Document link:
drive.proton.me/urls/9CR5SB3...
![REPORT OF THE AD HOC WORKING GROUP ON PHYSICIAN WORKFORCE CONDITIONS, SCIENTIFIC INTEGRITY, AND RESIDENT ORGANIZING IN THE POST-2020 POLICY ENVIRONMENT
Position Statement on the Dr. Mehmet Oz Event: Threats to Scientific Integrity and the Coercion of Resident Physicians
Executive Summary
The American medical profession is undergoing a structural realignment driven by three converging forces: the accelerating unionization of resident physicians [1]; the collapse of scientific and public‑health norms in the United States due to the political capture of federal agencies [2]; and a widening gap between the priorities of organized medicine’s legacy institutions and the lived reality of trainees. Medical students and residents now occupy the most precarious position in the physician workforce while simultaneously holding the greatest leverage to redirect the profession’s trajectory.
The present moment is shaped by the consolidation of political power by the current Republican administration and the placement of high‑profile COVID‑19 contrarians—individuals whose pandemic‑era claims were repeatedly discredited—into leadership roles within federal science and health agencies [3]. This shift has destabilized traditional assumptions about evidence‑based governance, regulatory oversight, and the civic role of physicians.
Meanwhile, the resident workforce—the backbone of the U.S. hospital system—faces unprecedented strain: declining inflation‑adjusted wages, chronic understaffing, escalating retaliation risks, and high levels of burnout. Residents organizing through CIR/SEIU have secured major gains across the country [4], while the AMA has only recently adopted policies supportive of collective bargaining for residents.
This report outlines the structural dynamics shaping the profession, the interaction between political disinformation and medical licensure, the implications for trainees, and recommendations for coordinated action between CIR, medical students, and aligned…](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:nqarhi3oedy4dv6uv5sdoi4r/bafkreibfns5dabf36wpntpmf2hqunebhsflyg4tzxwsszlizjlpix3rpmm@jpeg)
![1997 Balanced Budget Act [6]. These decisions often relied on the belief that physician oversupply would reduce quality or compress income.
COVID‑19 exposed the fragility of this system. Several U.S.-licensed physicians—including some with academic affiliations—used their credentials to oppose public‑health measures and promote unproven treatments. Their claims were amplified by political networks and media ecosystems, contributing to public distrust and increased mortality [7].
Disciplinary action against these physicians was rare. State medical boards were slow or unwilling to intervene [8]. Meanwhile, prominent contrarian physicians consolidated political influence and now occupy key federal health leadership roles.
II. Recent Developments Affecting Trainees
Residents have responded to worsening conditions by organizing at an unprecedented rate. CIR/SEIU now represents tens of thousands of residents across major academic systems. Recent wins include wage increases, due‑process rights, parental‑leave expansions, and improved safety provisions [9].
Medical students increasingly view collective action as the only viable mechanism for improving training conditions. This generational shift is redefining the culture of medicine and the relationship between physicians and institutional authority.
The AMA, historically ambivalent toward physician unionization, adopted policy in 2024 recognizing the legitimacy of resident collective bargaining [10]. However, the AMA’s primary legislative focus remains national scope‑of‑practice battles and physician payment reform, leaving trainees without a national body focused primarily on workplace safety, retaliation protections, or fair compensation.
III. Scientific Integrity Under Political Pressure
The integration of discredited COVID‑19 contrarian physicians into federal leadership represents a fundamental change in the environment for scientific practice [11]. Their elevation undermines the authority of evidence‑based instit…](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:nqarhi3oedy4dv6uv5sdoi4r/bafkreih5migf4gkghfc2latv7hvx7g25dj57e5bjtxsc4ppt25dpkoi2cy@jpeg)
![Third, trainees who advocate for evidence‑based care may face institutional retaliation, while physicians spreading disinformation face minimal consequences. This asymmetry distorts the professional environment and pushes trainees toward organized collective protection.
IV. Areas of Alignment and Conflict Between AMA Policy and Trainee Needs
While the AMA and resident unions share interest in scientific integrity and physician well‑being, their priorities diverge significantly. Residents require safe staffing, fair compensation, due‑process protections, and freedom from retaliation. The AMA has historically prioritized national legislative battles (such as scope‑of‑practice) over the day‑to‑day realities of residency training.
However, the rise of political interference in scientific institutions creates an emerging area of alignment: both trainees and segments of organized medicine recognize that defending evidence‑based practice is essential to the profession’s future.
V. Risk Assessment for Trainees in the Current Environment
Trainees now operate in a structurally unstable ecosystem shaped by political capture of federal science agencies [12], increasing right‑wing disinformation targeting medicine [13], academic‑center fragility, declining public trust, weak state board enforcement, and widespread vulnerability to employer retaliation.
These forces combine to create a historic level of risk for trainees, and senior leadership has not adequately communicated these stakes to medical students or residents.
VI. Recommendations for Residents, Students, and CIR Leadership
Residents must assert themselves as central actors in the profession’s future. Recommendations include strengthening organizing capacity across academic centers, building communication channels independent of employer oversight, establishing reporting pathways for retaliation or scientific interference, coordinating with allied organizations (including the AMA when aligned), creating educational…](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:nqarhi3oedy4dv6uv5sdoi4r/bafkreiae5c47yson4c7by3jrtyk4yiaat5xeouuxvgte6j3djbzg3ezkam@jpeg)
November 16, 2025 at 8:06 PM
Tomorrow, the AMA is giving a platform to Dr. Oz — CMS Administrator destroying Medicare and Medicaid.
Residents can’t freely dissent or the AMA will punish them.
This isn’t “dialogue.” It’s coercion.
We wrote the position statement the AMA won’t.
Document link:
drive.proton.me/urls/9CR5SB3...
Residents can’t freely dissent or the AMA will punish them.
This isn’t “dialogue.” It’s coercion.
We wrote the position statement the AMA won’t.
Document link:
drive.proton.me/urls/9CR5SB3...
This thread is why no doctor should be a member of AMA. Not just because it’s a scam. Not just because if the incessant spam/scamninsurance mailings. Not just because they *don’t need your dues they’re worth billions already*. They’re right wing sycophants and apologists and always have been.
@kylegriffin1.bsky.social the @ama-assn.org has caved to Trump. They invited known grifter Dr Mehmet Oz to give a speech, but, the AMA board/ John Whyte decided to censor all delegates in the following way.
1. Questions can be asked, but all must be vetted.
1. Questions can be asked, but all must be vetted.
November 16, 2025 at 5:43 PM
This thread is why no doctor should be a member of AMA. Not just because it’s a scam. Not just because if the incessant spam/scamninsurance mailings. Not just because they *don’t need your dues they’re worth billions already*. They’re right wing sycophants and apologists and always have been.
It truly disgusts me how people kowtow before a candidate with no accomplishments in his life, a literal “influencer” because he’s a Kennedy scion
There is no hope for the idea of America while we tolerate this. Americans should not want to be ruled by kings. No more dynasties no more billionaires.
There is no hope for the idea of America while we tolerate this. Americans should not want to be ruled by kings. No more dynasties no more billionaires.
November 16, 2025 at 6:58 AM
It truly disgusts me how people kowtow before a candidate with no accomplishments in his life, a literal “influencer” because he’s a Kennedy scion
There is no hope for the idea of America while we tolerate this. Americans should not want to be ruled by kings. No more dynasties no more billionaires.
There is no hope for the idea of America while we tolerate this. Americans should not want to be ruled by kings. No more dynasties no more billionaires.
Reposted by MarkH
30% of adult Americans have criminals records. ICE would have found 180 criminals if they RANDOMLY detained Americans
November 15, 2025 at 2:28 PM
30% of adult Americans have criminals records. ICE would have found 180 criminals if they RANDOMLY detained Americans
Bill Clinton has the opportunity to do the funniest thing.
Call a press conference, “I did not have sex with…that man…Donald Trump”.
Call a press conference, “I did not have sex with…that man…Donald Trump”.
November 15, 2025 at 2:31 PM
Bill Clinton has the opportunity to do the funniest thing.
Call a press conference, “I did not have sex with…that man…Donald Trump”.
Call a press conference, “I did not have sex with…that man…Donald Trump”.
Reposted by MarkH
The only thing that's interesting about Nuzzi is the story of how an amoral careerist with no interest in policy and abysmal ethics became an acclaimed national political reporter. But rather than tell that story, the entire media seems desperate to play a part in it.
It rocks that all 20 people who genuinely think the Olivia Nuzzi stuff is interesting have editorial discretion at major media outlets. Just publish your group chats
November 15, 2025 at 1:36 AM
The only thing that's interesting about Nuzzi is the story of how an amoral careerist with no interest in policy and abysmal ethics became an acclaimed national political reporter. But rather than tell that story, the entire media seems desperate to play a part in it.
I keep on having to point out the NYT is a bad paper and they keep on digging deeper to set the bar.
The navel-gazing attempt to redeem a journalist who is ethically corrupt and her gross, inappropriate, frankly bizarre and disgusting interest in a geriatric sewer trout is not a love story.
The navel-gazing attempt to redeem a journalist who is ethically corrupt and her gross, inappropriate, frankly bizarre and disgusting interest in a geriatric sewer trout is not a love story.
November 15, 2025 at 3:35 AM
I keep on having to point out the NYT is a bad paper and they keep on digging deeper to set the bar.
The navel-gazing attempt to redeem a journalist who is ethically corrupt and her gross, inappropriate, frankly bizarre and disgusting interest in a geriatric sewer trout is not a love story.
The navel-gazing attempt to redeem a journalist who is ethically corrupt and her gross, inappropriate, frankly bizarre and disgusting interest in a geriatric sewer trout is not a love story.