Santosh Vardhana
@santoshvardhana.bsky.social
1.4K followers 190 following 170 posts
Researching immunology, metabolism, and cancer, and caring for patients with lymphoma at MSKCC (www.vardhanalab.com). Opinions are my own.
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santoshvardhana.bsky.social
1) Ballooning health care costs are not due to providing emergency hospital care for undocumented immigrants
2) Either suggesting that hospitals should refuse emergency care, or refusing reimbursement to hospitals providing emergency care, solves nothing and is unethical
santoshvardhana.bsky.social
I can understand physicians often being silent when it comes to politics for a variety of reasons. However, this is a moment where we need to be heard stating two things very clearly (1/2):
atrupar.com
REPORTER: Should ERs check immigration status before treating a dying patient?

LEAVITT: That's probably not a question for me to answer. That's a question for healthcare professionals and legal experts to answer.

(That's not a no!)
Reposted by Santosh Vardhana
ryanmarino.bsky.social
ER doc here! This is a lie. Wait times are up because the American healthcare system is an unsustainable business model and a for-profit national healthcare system just doesn’t work. These problems will continue to get worse until we change that system. It literally has nothing to do with immigrants
atrupar.com
Vance: "If you're an American citizen & you've been to the hospital in the last few years, you've probably noticed wait times are especially large & very often somebody who's there in the ER is an illegal alien. Why do those people get healthcare benefits at hospitals paid for by American citizens?"
santoshvardhana.bsky.social
It's important to emphasize that I know almost nothing about money and had no trouble figuring this out.
santoshvardhana.bsky.social
Option 2: We treat everyone but hospitals are only reimbursed if the patient was a US citizen. The hospitals eat the costs, so either a) countless hospitals close, or more likely b) costs increase to offset those losses...and who ends up paying then?
santoshvardhana.bsky.social
Option 1 in the Vice President's Ideal World: We tell them to provide their insurance paperwork, and if they do not have said paperwork, have security escort them out to the door where they presumably die in the parking lot.
santoshvardhana.bsky.social
Oh fine, let's walk through the implications of NOT providing emergency health care to all people who walk into a US hospital. Someone shows up in the ER having a heart attack. (1/3)
atrupar.com
Vance: "If you're an American citizen & you've been to the hospital in the last few years, you've probably noticed wait times are especially large & very often somebody who's there in the ER is an illegal alien. Why do those people get healthcare benefits at hospitals paid for by American citizens?"
Reposted by Santosh Vardhana
sumitra.bsky.social
i don’t think people on bluesky understand the severity of this situation.

i woke up to literally hundreds of texts from friends and family thinking about either moving back home to india or applying to other countries for jobs. this includes me.
gergely.pragmaticengineer.com
Those on an H1B cannot return to the US from tomorrow (Sunday) unless paying $100K. This is an out-of-the blue presidential action. We’ll see software engineers stranded abroad.

One easy to predict outcome: those on US visas will travel less… for work, for conferences etc.
santoshvardhana.bsky.social
Worth mentioning that H-1B visa holders keep the majority of rural hospitals in America functioning
santoshvardhana.bsky.social
I can confirm that this is a very accurate description of what people who are trying to help improve the lives of patients with cancer, including myself, are facing.
santoshvardhana.bsky.social
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santoshvardhana.bsky.social
How can this be real? It is - this is a very real post by the current acting director of the CDC - essentially a full confession of scientific illiteracy. God help us.
Reposted by Santosh Vardhana
jukebarosh.bsky.social
My Friday night hot take is that replication studies are largely a waste of time & $

If a result is worth following up on, it's better to address from a different angle & see if it holds water. Strong ideas withstand this

Conversely, there R infinite ways a replication can fail that teach you zip
santoshvardhana.bsky.social
This is a clear contrast from prior statements which explicitly addressed these areas: www.nih.gov/sites/defaul...
www.nih.gov
Reposted by Santosh Vardhana
gregfolkers.bsky.social
Nature: Cancelling mRNA studies is the highest irresponsibility

go.nature.com/3HDx4wD

cc Jay Bhattacharya
santoshvardhana.bsky.social
Space was allocated to underscore the following priorities instead:
Reproducibility
"Real world" data sources
Artificial Intelligence
Autism (etiology only)
"Alternative Testing Models"
The harms of treating "gender dysphoria"

I dont see a future to biomedical research in this 'strategy.'
santoshvardhana.bsky.social
Top 10 causes of death in the US: heart disease, cancer, COVID, trauma/overdose, stroke, chronic respiratory disease, Alzheimer's, diabetes, kidney disease, and liver disease/cirrhosis.

# of mentions of any of these in the current 'unified strategy': 0.

www.nih.gov/about-nih/ni...
Advancing NIH’s Mission Through a Unified Strategy
NIH is moving toward a unified strategy that aligns our priorities and funding approaches to fulfill this commitment.
www.nih.gov
santoshvardhana.bsky.social
“The symbolism could not be clearer: Scientists, doctors, public health officials, and law enforcement officials — people whose life’s work is to protect the nation — have targets on their backs.” Bravo @celinegounder.com

www.nytimes.com/2025/08/11/o...
Opinion | A Dangerous Escalation of the Science Wars
www.nytimes.com
santoshvardhana.bsky.social
On 8/5, HHS cancelled all federal funding for mRNA vaccine research. On 8/6, @rfk-junior.bsky.social posted, “Doctors, hospitals, insurance companies, and pharmaceutical giants profit by keeping Americans sick.” On 8/8, a man convinced he was made sick by the COVID vaccine shot up by the CDC.
gregggonsalves.bsky.social
“...disinformation, conspiracy theories & political violence is getting scarier by the day. I’m very worried about how this is now going beyond defunding of infectious diseases & public health to political violence against the people working in those fields."

www.nytimes.com/2025/08/09/u...
After Years of Anger Directed at C.D.C., Shooting Manifests Worst Fears
www.nytimes.com
santoshvardhana.bsky.social
This is so unbelievably kind. It was so lovely speaking with you and your encouragement means so much!!!
santoshvardhana.bsky.social
At this point the end of scientific research in the US seems more like an inevitability than a concern. I wish someone could explain to me the benefits that outweigh the catastrophic harms of this series of decisions.

www.wsj.com/politics/pol...
Trump Administration Puts New Chokehold on Billions in Health-Research Funding
The National Institutes of Health can’t award grants to outside researchers under a new White House restriction.
www.wsj.com
Reposted by Santosh Vardhana
azfaust.bsky.social
Today’s NCI announcement is akin to Thanos snapping his fingers and wiping out half of American scientific workforce. Except that the wiping out part will take much longer to play out.