Scott L Greer
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scottlgreer.bsky.social
Scott L Greer
@scottlgreer.bsky.social
3.2K followers 3.9K following 4.4K posts

Political scientist in a public health school. Health policy and politics, especially in Europe. Recent books on EU health policy, federalism and social policy, co-benefits. Ann Arbor, Michigan. Opinions personal. 🚲. https://orcid.org/0000-0002-5288-0471 .. more

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scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · May 19
I’ve been writing about the politics and impact of Donald Trump on the US and world, with special attention to Europe and the University of Michigan, and most of it is free to read. This thread, in order, brings it all together. I hope it’s useful as a resource on the different issues.

Reposted by Timothy D. McBride

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 4h
Really?
kate10010.bsky.social K @kate10010.bsky.social · 6h
New park pass design and I….
Rendering of new annual park pass with a pic/drawing of George Washington and Donald fucking Trump

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 4h
You know, a smarter set of authoritarians might have gulled her. I don’t know. These guys? Pretend they’re running a consolidated autocracy when it’s just as likely they’ll all end up indicted themselves, and thereby make the latter more likely.
Elissa Slotkin says she, other lawmakers targets of possible FBI probe
U.S. Sen. Elissa Slotkin, D-Mich., said that the FBI has launched a possible inquiry into her and others for their message to military personnel.
www.freep.com

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 4h
The continuing desire to sanewash this guy is amazing. Whether it’s reasonable people with “at least he likes healthy diets” or even sillier defenses. If his namer were not Kennedy I think it might be different.

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 4h
I do find it fascinating how many of them say that the society they oppose is a society of death. Some rather heavy metaphysical territory here- political disputes that quickly escalate into the meaning of life.
walkerbragman.bsky.social Walker Bragman @walkerbragman.bsky.social · 4h
The anti-vaccine movement is a death cult
jessdkant.bsky.social Jesspooka Kant 🎃 @jessdkant.bsky.social · 12h
A third infant has died in Kentucky, KYDPH adds:

“These are Kentucky’s first pertussis deaths since 2018. None of the infants nor their mothers received the recommended pertussis vaccinations during pregnancy or early infancy.”

s3.amazonaws.com/nursing-netw...

Reposted by Scott L. Greer

walkerbragman.bsky.social
Walker Bragman @walkerbragman.bsky.social · 4h
The anti-vaccine movement is a death cult
jessdkant.bsky.social Jesspooka Kant 🎃 @jessdkant.bsky.social · 12h
A third infant has died in Kentucky, KYDPH adds:

“These are Kentucky’s first pertussis deaths since 2018. None of the infants nor their mothers received the recommended pertussis vaccinations during pregnancy or early infancy.”

s3.amazonaws.com/nursing-netw...
Kentucky Public Health KENTUCKY HEALTH ALERT Increase in Pertussis in Kentucky Recommendations for Identification and Prevention November 21, 2025 Kentucky health officials are alerting providers that cases of pertussis ("whooping cough") have increased steadily across the Commonwealth in recent weeks. To date, 566 cases of pertussis have been reported in Kentucky in 2025, the highest number of cases in the Commonwealth since 2012. This follows a trend that was first announced in July 2024 when pertussis cases began increasing in Kentucky to levels not seen in over a decade. Health officials anticipate that pertussis will continue to increase during the winter months based on historic trends. Many U.S. states and other countries are also experiencing elevated levels of pertussis. Many of the recent cases have occurred in young infants, and health officials also recently confirmed the third pertussis-related death in a Kentucky infant within the last year. This follows two other infant deaths that were announced in June. These are Kentucky's first pertussis deaths since 2018. None of the infants nor their mothers received the recommended pertussis vaccinations during pregnancy or early infancy. Health officials urge all Kentuckians to remain up to date on recommended pertussis immunizations and emphasize the importance of maternal immunization during pregnancy, and for all infants beginning promptly at two months of age. Health officials also encourage providers to consider pertussis as a diagnosis in addition to circulating seasonal respiratory viruses such as influenza, RSV and COVID-19. A significant number of cases have also occurred in school-aged children, many of whom were up to date on pertussis vaccination. Immunity from vaccination or natural infection wanes over time so infections can occur in people who are fully vaccinated. However, the vaccine is known to reduce disease severity, and hospitalization among vaccinated individuals is rare. The Kentucky Dep… Kentucky Public Health regularly in Kentucky, however an increase beyond the expected background rate has been reported in recent weeks. Though pertussis vaccination (DTaP or Tdap) is available and widely implemented, B. pertussis continues to spread in the U.S. due to lack of vaccination or timely boosters, the lack of lifelong immunity from vaccination or natural infection and the long duration of infectiousness in untreated cases. Symptoms of pertussis usually begin with a runny or congested nose, a low-grade fever, and mild coughing; apnea/stopping breathing can also occur in infants. After one to two weeks, the cough can progress to rapid, violent (paroxysmal) coughing fits that can cause the "whooping" sound, vomiting or labored breathing. Young children are the most severely affected; most teens and adults will have mild symptoms. People with preexisting health conditions that may be worsened by whooping cough are at high risk for developing a severe infection. Testing for Pertussis: The preferred methods for pertussis testing include nasal pharyngeal (NP) swab or nasal wash via PCR testing or culture. PCR has optimal sensitivity during the first three weeks of cough, is widely available at commercial laboratories and has a fast turnaround time. Culture is considered the gold standard due to excellent specificity but may take longer to complete. Serology for antibodies to B. pertussis is available at many commercial laboratories, however, serologic assays are not generally recommended for primary diagnosis of pertussis due to variability and unknown clinical accuracy. The most promising serologic assays are those that measure IgG antibodies against pertussis toxin only and are collected two to eight weeks following cough onset. Prevention of Pertussis: Prevention of pertussis is primarily achieved through routine vaccination with DTaP (ages two months to six years) and Tdap (ages seven years and older), followed by appropriate booster doses. Vaccination of pr… Bordetella parapertussis B. parapertussis is a bacterium that is similar to B. pertussis and can cause pertussis-like illness but does not produce pertussis toxin. Symptoms of parapertussis are typically milder and infection may be asymptomatic. There is no vaccine for B. parapertussis and post-exposure prophylaxis is not recommended, however treatment recommendations for symptomatic patients are the same as those for B. pertussis. B. parapertussis is not reportable in Kentucky. Thank you for your attention to this alert and guidance. The KDPH pertussis website includes supplemental resources, including a pertussis quicksheet with additional information that providers may find useful. If you have questions regarding reporting, testing, or prevention of pertussis or other infectious diseases, please contact the Kentucky Immunization Branch at (502) 564-4478 or after hours by calling the KDPH Epidemiology on-call line at 888-9-REPORT (888-973-7678). Our Mission: To improve the health and safety of people in Kentucky through Prevention, Promotion, and Protection

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 4h
It’s also going to produce a budgeting nightmare for a lot of future Dem appointees when they inherit a generally terrible post-Republican fiscal situation and then look at endless programs whose finances have been refashioned so that they depend on abusing visitors/ migrants/ poor people
dfeldman.org Sphexish Quine @dfeldman.org · 7h
National parks have SO MANY people from other countries (since they get real vacations!)

And they spend a lot of money on hotels, food, souvenirs, etc.

This is unbelievably dumb, it will destroy entire tourist towns
In a statement on Tuesday, the Interior Department, which manages federal land, said that, as of Jan. 1, it would more than triple the price of an annual park pass for nonresidents, from $80 to $250. Foreign tourists without an annual pass will also be charged $100 on top of the standard entrance fee to visit each of the 11 most popular national parks, including Yosemite, Yellowstone, Rocky Mountain and the Grand Canyon.

Reposted by Scott L. Greer

kate10010.bsky.social
K @kate10010.bsky.social · 6h
New park pass design and I….
Rendering of new annual park pass with a pic/drawing of George Washington and Donald fucking Trump

Reposted by Scott L. Greer, Rosemary A. Joyce, Alessandro Rigolon

dfeldman.org
Sphexish Quine @dfeldman.org · 7h
National parks have SO MANY people from other countries (since they get real vacations!)

And they spend a lot of money on hotels, food, souvenirs, etc.

This is unbelievably dumb, it will destroy entire tourist towns
In a statement on Tuesday, the Interior Department, which manages federal land, said that, as of Jan. 1, it would more than triple the price of an annual park pass for nonresidents, from $80 to $250. Foreign tourists without an annual pass will also be charged $100 on top of the standard entrance fee to visit each of the 11 most popular national parks, including Yosemite, Yellowstone, Rocky Mountain and the Grand Canyon.

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 10h
I have the standard google calendars for a bunch of religions and countries on my calendar so I can avoid scheduling things on other people's holidays.

Imagine my delight to learn that google includes the Black Friday sales as a US [religious] "Observance"

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 16h
tl;dr “You can only live in a rule-free environment for so long before it cooks your brain.”

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 16h
“Justices who are comfortable taking essentially undisclosed bribes from fellow ideologues end up deciding that the president they support is above the law. They’ve created this culture for themselves of­ ­accountability-free corruption, and that extends [to] how they view the administration"

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 16h
"At this point, the court is in a love triangle with Republicans and billionaires, facilitating a jurisprudence that subordinates workers’ rights and responsive democracy to the whims of the ultra-rich."
This is all John Roberts’ fault
Trump owes his corrupt and abusive reign to one man.
www.motherjones.com

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 16h
SCOTUS 'traded public legitimacy as a significant basis for its authority in favor of just alignment with the GOP"... As the justices keep rushing to Trump’s aid, Democrats grow more open to reform if they return to power—and thus Roberts lashes himself more tightly to Trump’s mast.'
This is all John Roberts’ fault
Trump owes his corrupt and abusive reign to one man.
www.motherjones.com

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 16h
"If you believe that people—including children—choose their own suffering for obscure reasons connected to reincarnation and energetic vibrations, you might not be so concerned with the potential harms of ushering in a new age of infectious disease."
From medicine to mysticism: the radicalization of Florida's top doc
Joseph Ladapo was a normie—until he met his wife and a guru into levitating and communicating with spirits.
www.motherjones.com

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 16h
quite a case study: of elite radicalisation, but above all of the pipeline from health grifting to far-right politics
From medicine to mysticism: the radicalization of Florida's top doc
Joseph Ladapo was a normie—until he met his wife and a guru into levitating and communicating with spirits.
www.motherjones.com

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 18h
‘“It is a fundamental principle of evidence-based medicine that one should respect patients’ values and preferences,” Guyatt said. “People seeking gender-affirming care are entitled to that respect.”’

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 18h
‘The evidence underpinning gender-affirming health care is “not different from most of medicine,” Guyatt said, and the field, from his point of view, looks about like any other in medicine, with a similar range of quality, caution, and care in medical practice—if possibly under more scrutiny.’
Trans health care "skeptics" lost a key ally—now they're having a meltdown
The godfather of evidence-based medicine on rejecting anti-trans "misuse" of his work.
www.motherjones.com

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 18h
“it is unpardonable that Labour is spending time promoting hateful policies which it knows will not work, instead of doing the actual work of government which the country requires.

This is the classic Westminster madness, the prototypical bullshit pantomime”
A clown government elected on a seriousness ticket
People voted for Starmer because they wanted grown-up government. He should respect the mandate.
iandunt.substack.com

Reposted by Scott L. Greer

arrianna-planey.bsky.social
Arrianna Marie Planey, PhD MA @arrianna-planey.bsky.social · 18h
Yep. The range in my study of rural places in the South was 0.2-49.5 mi, while mean travel distances/times to access acute hospitals increased from 2007-2018 (from 9.85 mi in 2007 to 15.9 mi in 2018) onlinelibrary.wiley.com/doi/10.1111/...
Structural Factors and Racial/Ethnic Inequities in Travel Times to Acute Care Hospitals in the Rural US South, 2007–2018
Policy Points Policymakers should invest in programs to support rural health systems, with a more targeted focus on spatial accessibility and racial and ethnic equity, not only total supply or ne...
onlinelibrary.wiley.com

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 1d
IIRC median American drive time to hospital is around twenty minutes but the tail of long drives is very long

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 1d
Also fits with cross national evidence we summarize here (open access)
The role of health and health systems in shaping political engagement and rebuilding trust in democratic institutions
Around the world, institutional trust is declining while democratic discontent is rising. What role do health and health systems play in this crisis? We review decades of interdisciplinary research to...
www.thelancet.com

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 1d
Yes
Access to Healthcare and Voting: The Case of Hospital Closures in Rural America | American Political Science Review | Cambridge Core
Access to Healthcare and Voting: The Case of Hospital Closures in Rural America - Volume 119 Issue 3
www.cambridge.org

Reposted by Will Jennings, William Myers

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 1d
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)

Reposted by Scott L. Greer

mcbridetd.bsky.social
Timothy McBride @mcbridetd.bsky.social · 1d
When the hospital leaves town www.fiercehealthcare.com/hospitals/wh...
When the hospital leaves town
There are two kinds of Americans: those who live 12 minutes from an emergency department and those who live 72. | In large swaths of rural America, the basic expectation that an ambulance will reach a...
www.fiercehealthcare.com

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 1d
“increasing overdose death rates are associated with an increase in Republican votes and a decline in Democratic votes and voter abstention. Additionally, the survey analyses reveal that this relationship is strongest among independents.”

Reposted by Scott L. Greer

zingherpolisci.bsky.social
Josh Zingher @zingherpolisci.bsky.social · 1d
www.cambridge.org/core/journal...

Similar findings here
The Drug Crisis and Voting Behavior | Perspectives on Politics | Cambridge Core
The Drug Crisis and Voting Behavior
www.cambridge.org

Reposted by Will Jennings, Christina Ho, Evan Roberts

scottlgreer.bsky.social
Scott L Greer @scottlgreer.bsky.social · 1d
“We estimate that from the mid-2000s to 2022, exposure to the opioid epidemic continuously increased the Republican vote share in House, presidential, and gubernatorial elections.”

Reposted by Ashish Arora, Jesse H. Kroll, Scott L. Greer , and 4 more

carlquintanilla.bsky.social
Carl Quintanilla @carlquintanilla.bsky.social · 1d
> @samsteindc.bsky.social

Reposted by Elizabeth Saunders, Scott L. Greer, Rosemary A. Joyce , and 5 more

ericmgarcia.bsky.social
Eric Michael Garcia @ericmgarcia.bsky.social · 1d
WOW! Autism Society of America, The Autistic Self-Advocacy Network, the Autism Science Foundation, the Autistic Women & Nonbinary Network and Autism Speaks put out a statement denouncing the CDC changing its website on vaccines
autisticadvocacy.org/2025/11/lead...
Leading Autism and Disability Organizations Statement on CDC's Vaccines and Autism Page
As national organizations dedicated to advancing the well-being of autistic individuals and partners across the disability and public health sectors, we are deeply disappointed by the latest update to...
autisticadvocacy.org

Reposted by Scott L. Greer

volts.wtf
David Roberts @volts.wtf · 1d
The notion that the political economy theory behind IRA failed because IRA did not prevent the election of Donald Trump is just an *insane* piece of backcasting. Insane.