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Cary Gross

@carygross.bsky.social

270 followers 280 following 6 posts

Professor of Medicine & Public Health @Yale, working to improve cancer care for all. Director, #Cancer Outcomes (COPPER) Center & Yale Nat'l Clinician Scholars Program. Associate Editor, JAMA Internal Med (posts = own views, not employer’s) .. more

Economics 51%

Public Health 22%

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Reposted by Cary P. Gross

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 1d

New in @medpagetoday.com: Financial side effects from #breastcancer treatment can create life-altering problems, including distress, debt, & employment disruptions #bcsm #financialToxicity

Proud of the work of @mdanderson.bsky.social PGY5 Dr Kamaria Lee in the @ascocancer.bsky.social
#ASCOEdBook

Kamaria Lee and Fumiko Chino on Financial Toxicity and Breast Cancer

Still needed: interventions at government, institutional, and provider levels

www.medpagetoday.com

Reposted by Cary P. Gross

JAMA Internal Medicine @jamainternalmed.com · 1d

Only 4 US states comprehensively regulate IV hydration spa governance, prescriber credentials, dispensing, and compounding practices.

ja.ma/48jpG4v

Map of the USA showing state-level policies for intravenous hydration spas. States are shaded or patterned to represent guidelines on dispensing, governance, prescribing, and compounding, with Alaska and Hawaii shown as insets.

Reposted by Cary P. Gross

Yale Cancer Center @yalecancer.bsky.social · 6d

A large Yale study of pts with #cancer in Connecticut found modest declines in #opioid prescribing overall—and sharper drops in some groups, including a 40% decrease in pts without pain. yalecancercenter.org/news-article...
@henryspark11.bsky.social @carygross.bsky.social

Yale Study Finds Reduced Opioid Prescribing for Some Patients with Cancer

An analysis of opioid use and prescriptions for more than 10,000 Connecticut patients with cancer found modest decreases in both new and additional painkiller

yalecancercenter.org

Reposted by Cary P. Gross

Jack Iwashyna @iwashyna.bsky.social · 15d

**important new paper**

Privacy and Dignity for Undocumented People? Clinicians' Duties and Responses to Patient Immigration Status Inquiries

David M Chooljian et al. @annalsats.bsky.social

pubmed.ncbi.nlm.nih.gov/40986802/

Privacy and Dignity for Undocumented People? Clinicians' Duties and Responses to Patient Immigration Status Inquiries - PubMed

Privacy and Dignity for Undocumented People? Clinicians' Duties and Responses to Patient Immigration Status Inquiries

pubmed.ncbi.nlm.nih.gov

Reposted by Cary P. Gross, Rishi K. Wadhera

Michael L. Barnett @mlbarnett.bsky.social · Sep 8

New paper w/ Brian McGarry, Ashvin Gandhi, and Drew Wilcock in @jamainternalmed.com!

Hospitals are complaining across the US that patients are "stuck" waiting for rehab beds at nursing homes when they are medically stable and ready for discharge. What is going on??

jamanetwork.com/journals/jam...

Question Has hospital length of stay increased more for Medicare
Advantage beneficiaries than for traditional Medicare beneficiaries
since the COVID-19 pandemic?Findings In this cohort study involving more than 89 million
hospitalizations from 2017 to the third quarter of 2023, Medicare
Advantage beneficiaries experienced disproportionately greater
increases in extended hospital stays, especially among those
discharged to skilled nursing facilities.Meaning These findings suggest that the Medicare Advantage
plan design and practices may contribute to hospital discharge
delays, with implications for patient outcomes and hospital
capacity as enrollment continues to rise.

Reposted by Cary P. Gross, Julie Ward

Megan Ranney MD MPH @meganranney.bsky.social · Aug 27

I have a list of things we can do to change this tempo of tragedy

The proposals are based on real data
They have had signals of efficacy

It may feel hopeless today but:

I refuse to give up.

Because - Our babies & our communities deserve better than a rolling litany of horrors.

The Associated Press @apnews.com · Aug 27

BREAKING: Two children were killed and 17 people injured in a shooting at a Minneapolis Catholic school, police said. The shooter is also dead.

Minnesota governor says a shooting has occurred at a Minneapolis school

Authorities say a shooting has erupted during the first week of classes at a Minneapolis Catholic school. There was no immediate information on any injuries. Gov.

Reposted by Cary P. Gross, Ruairidh Milne

Harlan M. Krumholz @hmkyale.bsky.social · Aug 19

“Never delegate understanding.”

That quote stuck with me—and it’s now the title of my new Substack.

I’ll be writing about health, science, & how these things can be understandable.

Subscribe here → neverdelegateunderstanding.substack.com/subscribe

#health #science #medicine @yalemed.bsky.social

Subscribe to Never Delegate Understanding

Making health and science understandable. Click to read Never Delegate Understanding, by Harlan Krumholz, a Substack publication. Launched 2 days ago.

neverdelegateunderstanding.substack.com

Reposted by Cary P. Gross

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · Aug 10

#Medicaldebt is an indicator of an inherent failure of our health system to protect the most vulnerable. Aggressively pursuing it does little to serve the financial bottom line of a hospital, while exposing the most vulnerable & their families to a lifetime of downstream consequences.

@jama.com

Reposted by Cary P. Gross, Stacie B. Dusetzina, Tim Richardson , and 1 more Cary P. Gross, Stacie B. Dusetzina, Tim Richardson, Thomas Masterson

Prasad Jallepalli, MD, PhD @prasad.bsky.social · Jul 29

few outcomes, except for 99% of FDA-approved drugs, 174 recipients of 104 Nobel Prizes, training ~30K MDs and ~10K PhDs per year to enter the workforce, and a 34% reduction in age-adjusted cancer deaths since 1990 -- the largest decrease in history

Drug Monkey @drugmonkey.bsky.social · Jul 29

Now do the Department of Defense budget, Andrew.

“Washington has thrown billions at NIH for decades with little accountability and few measurable outcomes,” HHS spokesperson Andrew Nixon said in a statement to Future Pulse.

www.politico.com/newsletters/...

NIH spending battle’s ripple effect

www.politico.com

Reposted by Cary P. Gross, Stacie B. Dusetzina

Drug Monkey @drugmonkey.bsky.social · Jul 29

Now do the Department of Defense budget, Andrew.

“Washington has thrown billions at NIH for decades with little accountability and few measurable outcomes,” HHS spokesperson Andrew Nixon said in a statement to Future Pulse.

www.politico.com/newsletters/...

NIH spending battle’s ripple effect

www.politico.com

Reposted by Cary P. Gross

Dave Levitan @davelevitan.bsky.social · Jan 27

From a source inside the National Cancer Institute:

“Everyone is scrambling to figure out how we’re supposed to work to serve the public when we can’t engage at all.”

Reposted by Elizabeth Saunders, Cary P. Gross, Sarah E. Gollust

Leora Horwitz @leorahorwitzmd.bsky.social · Jul 23

Heard from #AHRQ that the entire grants staff has been let go! They are unable to issue funds for grants already funded, let alone fund new grants. This is outrageous and will make Americans poorer and sicker. Why? A brief thread about just some recent AHRQ-funded research: #MedSky #HealthPolicy

Reposted by Cary P. Gross

The Conversation U.S. @us.theconversation.com · Jul 20

"Even though I'm free, I ain't free." Formerly incarcerated Black men describe ongoing anxiety, hypervigilance, and feeling institutionalized years after release from prison. theconversation.com/i-just-could...
By @helenaaddiphd.bsky.social @yale.edu

‘I just couldn’t stop crying’: How prison affects Black men’s mental health long after they’ve been released

Over 2 dozen Philadelphia men shared their experiences with trauma and psychological distress as they worked to rebuild their lives after release.

theconversation.com

Reposted by Cary P. Gross

JAMA Internal Medicine @jamainternalmed.com · Jul 16

Among FDA anticancer drug approvals from 2009 to 2020, only 27 next-in-class drugs had direct randomized clinical trial comparisons with first-in-class drugs. https://ja.ma/3Gs6k1J

Figure. Network Diagram of Randomized Clinical Trials That Have Tested an Approved Next-In-Class Anticancer Drug Against an In-Class Comparator (N = 27)

Reposted by Cary P. Gross, Robert Wolfe

Lena Sun @lenasun.bsky.social · Jul 15

As a longtime public health reporter covering the rise of anti-vaccine groups, I have seen them use personal stories to raise doubts about vaccines.
Today I saw immunization advocates push back by highlighting the stories of the toll of vaccine-preventable illness. A thread:

Cary Gross @carygross.bsky.social · Jul 13

Happy birthday, Fumiko!

Reposted by Edward Witten, Cary P. Gross, David Kaufman , and 4 more Edward Witten, Cary P. Gross, David Kaufman, Michael Bérubé, Susan Young, Rosanna E. Guadagno, Stephen P. Smith

Maxwell Frost @maxwellfrost.bsky.social · Jul 12

I just left the Everglades Immigrant Interment Camp. No, I’m not using their ridiculous name. It was a very tough to witness humans in those cages. Every Floridian should be ashamed that our taxpayer money is being used for this.

Reposted by Cary P. Gross

Bill Gates @billgates.bsky.social · Jul 3

The facts are simple and devastating: Aid cuts have already cost lives, and the number of deaths will continue to rise. Here’s the evidence.

Reposted by Cary P. Gross, Kai Chen

Yale School of Public Health @yalesph.bsky.social · Jul 2

America's health data system is fragmented, outdated, and hard to access. This slows the response to emerging health threats. PopHIVE unites diverse partners and data in one location, creating a solution for improved public health data for action.

4/5 @meganranney.bsky.social

“National health data has been too fragmented and too slow for too long. PopHIVE changes that.” - Dean Megan L. Ranney
PopHIVE unites diverse partners and data in one location, creating a solution for improved public health data for action.

Reposted by Cary P. Gross

The American Academy of Pediatrics @ameracadpeds.bsky.social · Jun 25

Hepatitis B can be passed from parent to baby at birth - and when that happens, the consequences can be deadly. It is unscientific and dangerous to intentionally ignore the success of U.S. vaccination programs or argue that the U.S. should not vaccinate babies for hepatitis B at birth.

Reposted by Naomi Klein, Cary P. Gross, David Lazer , and 7 more Naomi Klein, Cary P. Gross, David Lazer, Jocalyn Clark, Hilary M. Babcock, Amy McGovern, Janet Murray, Rex Brynen, Shaun C. Hendy, Colin Talbot

Atul Gawande @agawande.bsky.social · Jun 25

This is a travesty & a nightmare. The US was a founder of @gavi.org. It lowers global vaccine costs, has vaccinated 1B children, & averted 19M deaths. This pull out will cost 100s of thousands of children's lives a year - and RFK Jr will be personally responsible.
www.politico.com/news/2025/06...

RFK Jr. says US won’t donate to global vaccine effort

Kennedy ripped into Gavi, the Vaccine Alliance, in a video address at its pledging summit.

www.politico.com

Reposted by Joseph S. Ross, Cary P. Gross

NCSP at Yale @ncspyale.bsky.social · Jun 23

Proud to celebrate our Yale NCSP 2025 graduates! 🎉 Their leadership & commitment to improving healthcare will make a real difference. #NCSP #YaleNCSP

@carygross.bsky.social @reshmagar.bsky.social @jsross119.bsky.social @ebronurse.bsky.social

Reposted by Cary P. Gross, Ameet Sarpatwari

Holly Fernandez Lynch @hollylynchez.bsky.social · Jun 20

Makary makes many claims here that sound like "common sense" but are problematic.
1st he says FDA's reg reqs have made the US "less competitive in the global race for new drugs and treatments." I'm not aware of any sponsor planning to skip the US market.
www.washingtonpost.com/opinions/202...

Opinion | How we plan to cut FDA drug approval time by months

Qualifying manufacturers will be able to submit some data while clinical trials are ongoing.

www.washingtonpost.com

Reposted by Cary P. Gross, Adam Gaffney

Adam Gaffney @awgaffney.bsky.social · Jun 16

Our study examining health impacts — including deaths — from Medicaid cuts was just published in the Annals of Internal Medicine

Overall, the Big, Beautiful Bill Act could lead to more than 16,500 medically-preventable deaths due to these cuts
🧵

www.acpjournals.org/doi/10.7326/...

Projected Effects of Proposed Cuts in Federal Medicaid Expenditures on Medicaid Enrollment, Uninsurance, Health Care, and Health | Annals of Internal Medicine

In January 2025, the Republican majority in the House of Representatives’ Budget Committee offered a list of possible spending reductions to offset revenue losses from proposed tax cuts. In May, the C...

www.acpjournals.org

Reposted by Jennifer Bussell, Cary P. Gross, Kai Chen , and 1 more Jennifer Bussell, Cary P. Gross, Kai Chen, Katrina M. Walsemann

Megan Ranney MD MPH @meganranney.bsky.social · Jun 15

Over the next 25 years, if proposed cuts in NIH funding are made real, “In a population of more than 340 million, this reflects **82 million** fewer years of life.”

In the US alone.

jamanetwork.com/journals/jam...

Cutting the NIH—The $8 Trillion Health Care Catastrophe

This JAMA Forum discusses the recent budget cuts to National Institutes of Health (NIH), the effects of these cuts on scientific research and health of individuals in the US, and the prospects for cha...

jamanetwork.com

Reposted by Cary P. Gross

Yale School of Public Health @yalesph.bsky.social · Jun 12

In a new study, Yale researchers, including Profs. Xiaomei Ma and Kai Chen, found that ozone pollution, also called smog, and high temperatures together increase the risk of acute myocardial infarction, commonly known as a heart attack. Learn more ⬇️
news.yale.edu/2025/0...

Star music, Kavli kudos, and summertime heart risks

Researchers listen to “music” made by stars, consider the heart risks of hot, smoggy days, and earn kudos in geoscience, public health, and systems biology.

Reposted by Cary P. Gross

Dana Howard @thedanahoward.bsky.social · Jun 11

Hi All! Testing the waters about whether to join Bluesky. Just wanted to share a research letter that me and colleagues have out today in @jamanetworkopen.com. Check it out: jamanetwork.com/journals/jam...

Relocation Post-Dobbs Among Clinicians Providing Abortions

This survey study compares the proportion of abortion-providing clinicians who changed primary state of practice after the Dobbs v Jackson Women’s Health Organization decision in 2022.

jamanetwork.com

Reposted by Cary P. Gross

Gregg Gonsalves @gregggonsalves.bsky.social · Jun 7

We're doing a live-fact-check of Bhattacharya and Senators on Tuesday! Join us!

Reposted by Cary P. Gross

Yale Cancer Center @yalecancer.bsky.social · Jun 1

Lauren Cueto and @carygross.bsky.social shared new research from the Yale COPPER Center at #ASCO25 highlighting the time between study completion and publication/data sharing for NCI cooperative group trials.
meetings.asco.org/2025-asco-an...
@yaleschoolofmed.bsky.social @ascocancer.bsky.social

Reposted by Cary P. Gross

Aaron Mitchell @thewonkologist.bsky.social · May 31

🚨🚨🚨
Presenting our new study on Medicare Advantage at #ASCO25! Lower use of low value cancer care among Medicare Advantage beneficiaries.

Simultaneously published in JCO
👇🏼👇🏼👇🏼
ascopubs.org/doi/10.1200/...