Mike Aylward, MD
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primarydoc.bsky.social
Mike Aylward, MD
@primarydoc.bsky.social
Med-Peds Primary Care Doc, I believe in Human Rights. Working in an FQHC. Interests in addiction medicine, asylum medicine, health equity and medical education. Advocacy is a professional responsibility.
www.startribune.com
November 19, 2025 at 9:58 PM
The Supreme Court has once again proven they are partisan hacks and no more worthy of respect than any other used car salesman politician. And that’s just being mean to used car salesmen.
September 8, 2025 at 4:16 PM
In shocking turn, conservative commentator cherry picks data to confirm his righteousness.

www.nytimes.com/2025/09/05/o...
Opinion | Why I Am Not a Liberal
www.nytimes.com
September 6, 2025 at 12:45 AM
This is so stupid. Just do both. One is a message (billionaires bad) the other is an approach (cut red tape). You don’t need a committee to figure this out.

www.politico.com/news/2025/09...
Democratic research finds voters prefer populism over ‘Abundance’
A progressive think tank and veteran Democratic strategists are scheduled to present their findings to congressional Democrats next week.
www.politico.com
September 5, 2025 at 1:41 AM
A reminder that major medical organizations did not oppose RFK Jr’s nomination. Consider that when your dues are up. Too little, too late.

#medsky
August 29, 2025 at 12:50 PM
How about focusing on human rights? The right to health? The right to work, to eat, to shelter, and so on. Focus on people’s dignity and create a positive vision around that.
August 23, 2025 at 3:47 PM
I read lots of hand wringing about the lack of protests, when I really think people should be worried about the lack of a vision for the future. The Democratic Party as it stands is not it. We don’t need a centralized “project 2028”. But what we do need is people and groups developing ideas.
August 23, 2025 at 3:46 PM
I really wish that media would address the abject cruelty of this administration. Everything is done for maximum harm and hatred, and the dignity of individuals is not even a consideration.
August 23, 2025 at 2:40 AM
People flee other countries due to persecution such as this. They used to come to the US seeking safety and protection. For now that time has passed.

#medsky #pedsky

www.nytimes.com/2025/08/20/u...
Trump Officials Demanded Confidential Data About Transgender Children Seeking Care
www.nytimes.com
August 22, 2025 at 2:08 AM
Starting August 25 the Trump starts:
Terminating coverage and assistance for DACA Recipients

Ending Special Enrollment Periods for low-income populations

Requiring manual submission of eligibility documents
August 21, 2025 at 1:58 AM
Proposed insurance rate increases on MN ACA marketplace for 2026x, brought it to you by the Big Bad Bill. Say thank you, and make sure you’re wearing a suit when you do it.
August 21, 2025 at 1:55 AM
More human rights violations from our government. This time about children.

www.nytimes.com/2025/08/15/u...
Judge Rejects Trump’s Attempt to End Standards of Care for Detained Migrant Children
www.nytimes.com
August 16, 2025 at 1:28 PM
This is what human rights violations look like. Here, in the US, it’s happening daily.

www.theguardian.com/us
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www.theguardian.com
July 25, 2025 at 7:01 PM
Trump and RFK Jr. continue to stomp on human rights. Denying medical care to people is immoral, but we all know they don’t care. This HHS policy essentially eliminates the ability for immigrants to access safety net services.

#medsky #pedsky

www.hhs.gov/press-room/p...
www.hhs.gov
July 11, 2025 at 2:13 AM
Wouldn’t it be a terrific F U to the Murder Bill, Congress and the admin if collectively developed systems to help people stay on Medicaid? There goes a good chunk of the cuts.
July 10, 2025 at 2:23 AM
Apparently, people blame Dems for rural hospital closures. How do we keep this from happening over the next several years? At some point people need to learn cause and effect and not from Fox News.

#medsky #imsky #pedsky

link.springer.com/article/10.1...
The Politics of Rural Hospital Closures - Political Behavior
Who do citizens hold responsible for outcomes and experiences? Hundreds of rural hospitals have closed or significantly reduced their capacity since just 2010, leaving much of the rural U.S. without a...
link.springer.com
July 5, 2025 at 1:42 PM
Ummmm… raising tuition, asking us to work more, and all the while…
July 2, 2025 at 1:34 PM
An under appreciated reality is that small businesses in red areas won’t likely highlight the effects of tariffs on prices for fear of losing Trump voters. Trump voters continue to not understand the impact of his policies.
June 22, 2025 at 8:55 PM
Reposted by Mike Aylward, MD
No kings. No Fear. No Violence: An account of what happened at No Kings Twin Cities by ITC Co-leader Lisa Erbes: bhttps://open.substack.com/pub/lisaclaire/p/no-kings-no-fear-no-violence?r=dwr87&utm_campaign=post&utm_medium=email
#nokings
No Kings. No Fear. No Violence.
The days and weeks leading up to the June 14th No Kings March and Rally in St.
open.substack.com
June 17, 2025 at 4:32 PM
Amazon work accommodation forms are the pinnacle of malicious compliance. They are designed to be un-billable so that people either don’t get accommodations or get fired. Brutal.

#imsky
June 18, 2025 at 3:47 PM
This is a dark day in medicine, and a Supreme Court that is unwilling to protect marginalized groups. So much for “government staying out of the exam room.” What are the next treatments to be banned?

#medsky #pedsky
June 18, 2025 at 2:47 PM
Advocacy comes in many forms. My comments on the threats to healthcare…

#imsky #medsky #pedsky

www.mnphy.com/0625-mn-heal...
MN Health Care Roundtable Session 60
Recent federal funding cuts to mental healthcare, community clinic services, cancer care and healthcare access. Suggestions for protecting public health.
www.mnphy.com
June 17, 2025 at 4:01 PM
Reposted by Mike Aylward, MD
America is one of those countries where if you host a global sporting event, inclusive messages have to be censored to so as not to anger the central government. In this case the message is “racism is bad” www.nytimes.com/athletic/643...
FIFA drops anti-racism, anti-discrimination messages for Club World Cup
www.nytimes.com
June 17, 2025 at 10:46 AM
More Medicaid cuts from the Senate… now messing with the provider tax.

Here’s a good run down.

That said, the simple language for advocacy is a cut is a cut. Collect and share stories…

#medsky #imsky #pedsky

www.kff.org/medicaid/iss...
5 Key Facts About Medicaid and Provider Taxes | KFF
As Congress weighs potential cuts in federal Medicaid spending through budget reconciliation, one option under consideration is to limit the use of state taxes on providers. This brief uses data from ...
www.kff.org
June 16, 2025 at 6:55 PM