Amit Chandra, MD
@amitchandramd.bsky.social
200 followers 240 following 190 posts
Emergency Physician | Public Health Diplomat | ex-USAID Health x Environment x Tech Writing featured by: Salon, CFR, Science, BMJ, PLOS, DNA India https://apothek.substack.com/
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amitchandramd.bsky.social
👋🏽 New to Bluesky! My background spans #EmergencyMedicine and #GlobalHealth diplomacy (ex-USAID), with deep dives into #DigitalHealth #Innovation, #PandemicResponse, and #PlanetaryHealth. Excited to connect with others exploring the future of healthcare and tech for social good.
Reposted by Amit Chandra, MD
amitchandramd.bsky.social
"Taken together, these findings suggest that Georgia's work requirements have so far undermined well established coverage gains that typically occur with Medicaid expansion without producing increases in employment..."
#MedSky
#healthpolicy
www.bmj.com/content/390/...
Reposted by Amit Chandra, MD
amitchandramd.bsky.social
"New" global health strategy launched after cutting billions.

The plan? Direct disbursement to governments (not NGOs), to reduce a "culture of dependency" while simultaneously promoting American prosperity through US commercial partnerships. 🤔
#GlobalHealth #ForeignAid
www.npr.org/sections/goa...
What's in -- and what's missing -- in the new U.S. strategy for global health
After months of aid cuts, the State Department has released a 35-page document detailing how it plans to roll out global health assistance. Here's what it says — and what the reaction is.
www.npr.org
Reposted by Amit Chandra, MD
Reposted by Amit Chandra, MD
amitchandramd.bsky.social
"Single-use plastic was never inevitable. It was a business decision. And we can choose differently if we confront how we’ve essentially been manipulated into arriving here, and muster the willpower to push for something better."
#GreenSky #EnviroSky

www.nytimes.com/2025/09/06/o...
Opinion | Throwaway Plastic Has Corrupted Us
www.nytimes.com
Reposted by Amit Chandra, MD
premnsikka.bsky.social
Curse of private equity.

After US hospitals were acquired by private equity firms, patient death rates in the emergency depts rose by 13% compared with similar hospitals.

PE cut staffing, wages, investment; hiked profits.

People killed for profit.

Yet UK handing healthcare to PE.
Death rates rose in hospital ERs after private equity firms took over, study finds
The increased deaths in emergency departments at private equity-owned hospitals are most likely the result of reduced staffing levels, researchers say.
www.nbcnews.com
Reposted by Amit Chandra, MD
alanakinrich.medsky.social
I took Tylenol as needed throughout my pregnancy. I am a doctor. I order Tylenol for pregnant women regularly. Tylenol is safe in pregnancy. RFK Jr is ignoring a huge recent well-done study because he doesn't like the answer it gives. There is no causality between Tylenol and autism.
carolinepennock.bsky.social
You have no idea how much I despite these anti-science dipshits for making pregnant women terrified of taking (safe, mild, proven) pain relief.
Reposted by Amit Chandra, MD
ryanmarino.bsky.social
The Director of the Centers for Medicare and Medicaid Services wants Americans to “move on” from needing healthcare
atrupar.com
Dr Oz: "The folks that we're trying to help both in Medicaid and in the exchanges are people who with a little bit of help they hope they can get healthy and be able to take care of their families and move on."
Reposted by Amit Chandra, MD
adrianna.bsky.social
“The whole point of EMTALA is that when you get a person at the door, you stabilize them before you ask them any effing questions.”

www.thebulwark.com/p/government...
Congress ultimately addressed both needs, by putting EMTALA and the Emergency Medicaid initiative into 1986 budget legislation.4 And although Vance, in a Fox interview last week, described Emergency Medicaid as a “Biden-era” program, it was signed into law by the Republican who was in the White House at the time: conservative patron saint Ronald Reagan. Leavitt herself seemed to acknowledge that on Friday, when another reporter asked her a question similar to the one she got from NBC News: “Is it the administration’s position that hospitals should not have to treat people who come to ERs who are not here legally?”

“No,” she said, “that’s not our position.” Just like that, she conceded the rationale for EMTALA and Emergency Medicaid—and acknowledged that the Trump administration actually supports taxpayer-funded health care for illegal immigrants. Maybe someone should tell JD Vance.
Reposted by Amit Chandra, MD
amitchandramd.bsky.social
Via @dhruvkhullar.bsky.social If algorithms can diagnose patients as well as doctors, what's left of the physician's role?

My answer: The human connection, navigating complex health system constraints, & trust... if AI's hallucinate 1 out of 100 times, they are not ready to scale. 🏥🤖
#MedSky
dhruvkhullar.bsky.social
How good is A.I. at making medical diagnoses? Good enough to help—and to hurt.

For @newyorker.com, I spent months talking to patients, doctors, and researchers about how we can make the most of a powerful new technology and how we can minimize the side effects.
If A.I. Can Diagnose Patients, What Are Doctors For?
Large language models are transforming medicine—but the technology comes with side effects.
www.newyorker.com
Reposted by Amit Chandra, MD
amitchandramd.bsky.social
Interesting read... recently saw the film "The Materialists" which had this topic as a strange sub-plot.
amitchandramd.bsky.social
"Taken together, these findings suggest that Georgia's work requirements have so far undermined well established coverage gains that typically occur with Medicaid expansion without producing increases in employment..."
#MedSky
#healthpolicy
www.bmj.com/content/390/...
amitchandramd.bsky.social
Devastating and sad outcome to this article... the consequences of EHR alert fatigue, ER overcrowding, and a "...rare patient with an outlier diagnosis."
www.nytimes.com/2025/10/05/w...
#emergencymedicine #medsky
It’s Just a Virus, the E.R. Told Him. Days Later, He Was Dead.
www.nytimes.com
Reposted by Amit Chandra, MD
amitchandramd.bsky.social
Interesting article on health taxes by Mary-Ann Etiebet of @vitalstrategies.org. Think #alcohol, #tobacco, & sugary beverages. These taxes are a "triple win": saving lives, lowering health system costs, and boosting revenue.

#GlobalHealth #PublicHealth
www.thinkglobalhealth.org/article/usin...
Using Health Taxes to Promote Public Good | Think Global Health
To accelerate progress on health taxes, governments should address three challenges that have stalled the reform
www.thinkglobalhealth.org
Reposted by Amit Chandra, MD
bachynski.bsky.social
Since this question came up in class last week on flu vaccination and Guillain-Barre syndrome, I think I’ll mention this tomorrow: “most research indicates that active influenza infection poses a higher risk for GBS, and vaccination may provide protection against it” cc @jackiantonovich.bsky.social
Investigating Guillain-Barre Syndrome and Vaccines: Is There a Link?
Research exploring the link between vaccines and Guillain-Barre syndrome suggests there is a minimal overall risk for GBS associated with vaccination.
www.neurologyadvisor.com
Reposted by Amit Chandra, MD
amitchandramd.bsky.social
Clean water, clean food, extraordinary levels of hygiene kept farming families healthy... yes, including BOILING MILK!
#MedSky #GreenSky
sarahtaber.bsky.social
When people say "We used to drink raw milk from our own cow and it was fine,"

That's... usually not the case!

In families w their own cow, the mom usually boiled it before using.

We just forgot bc that's a boring chore that mom did. And who pays attention to that?

youtu.be/vKDPast9WFk
"Everyone Drank Raw Milk!" No They Didn't
YouTube video by Farm to Taber
youtu.be
Reposted by Amit Chandra, MD
amitchandramd.bsky.social
Plus 10m more uninsured over the coming decade = foregone care, increased costs, worsened health outcomes
www.kff.org/uninsured/ho...
amitchandramd.bsky.social
Tracing the history of quarantines from 14th century Dubrovnik to modern QR codes, @craigspencer.bsky.social notes that mobility restrictions have endured more for their political symbolism than proven effectiveness.
#PublicHealth

craigaspencer.substack.com/p/from-quara...
From Quarantine Islands to QR Codes: How Public Health Has Managed Mobility in Outbreaks
The politics of borders, bodies, and the enduring illusion of control
craigaspencer.substack.com
amitchandramd.bsky.social
You might also be interested in this one, a joint initiative of USAID & @techchange.bsky.social called "Architects of Digital Health." I use it as a capstone experience for my graduate level public health course at Georgetown!
architectsofdh.community.tc
Catalog
architectsofdh.community.tc
Reposted by Amit Chandra, MD
amitchandramd.bsky.social
Great connection between Dr. Murray's post on food safety & this NYT article on environmental toxins:

"Unfortunately, the United States government — more so than other governments — is more inclined to keep chemical companies safe than to protect our families."
www.nytimes.com/2025/09/08/o...
Reposted by Amit Chandra, MD
amitchandramd.bsky.social
Despite a promise to Make America Healthy Again, these policies do the opposite:
❌ Vaccine access, research, and Medicaid → measles outbreaks, future cancer cures delayed, 10M lose health insurance
❌ Climate policy → air & water pollution

We deserve better.
#PublicHealth #MedSky #HealthPolicy
bachynski.bsky.social
“Before vaccines, illnesses like smallpox, measles and polio left people scarred, paralyzed, blind or dead. Many of the victims were children. The Trump administration is condemning more people to suffer and die from diseases that we know how to prevent.” The first step to fixing this: RFKJ must go.
Opinion | Trump’s Policies Are Endangering Your Health
www.nytimes.com
amitchandramd.bsky.social
AT&T CEO (whose annual salary is $25m+) saying the quiet part out loud: Employer loyalty is dead! 💀

Consequences for AT&T: ⬆️ employee turnover, ⬇️ institutional knowledge, ⬆️ quiet quitting... expect employees to leave as fast as the next offer arrives.

news.outsourceaccelerator.com/att-ceo-end-...
AT&T CEO declares end of workplace loyalty, mandates office return - Outsource Accelerator
Some experts warn that this shift makes corporate workplaces less motivating and risks damaging engagement and creativity when companies need them most.
news.outsourceaccelerator.com