Joseph Nwadiuko MD PHD
@jnwadiuko.bsky.social
Nigerian, physician, health economist, glucophile. AP Hospital Medicine @Penn. Immigration, global health, prisons
Checkout this summary of our work on health workforce in immigration detention!
New research in @journalgim.bsky.social reveals alarming staffing gaps in ICE detention facilities — over half of surveyed sites lacked continuous clinical coverage, and many had no behavioral health providers at all.
Read our Q&A with LDI Fellow @jnwadiuko.bsky.social: https://bit.ly/4rCXMaJ
Read our Q&A with LDI Fellow @jnwadiuko.bsky.social: https://bit.ly/4rCXMaJ
ICE Facilities Operated Without Qualified Health Staff
New research reveals a snapshot of staffing shortages and health care access in government-run immigration detention facilities.
ldi.upenn.edu
December 4, 2025 at 9:14 PM
Checkout this summary of our work on health workforce in immigration detention!
Reposted by Joseph Nwadiuko MD PHD
🚨New Paper🚨 US doctors are paid very different amounts for treating different patients—even when providing identical services.
How much less are physicians paid for treating non-White patients?
In @jamahealthforum.com, we offer the 1st national estimates. (1/7)
jamanetwork.com/journals/jam...
How much less are physicians paid for treating non-White patients?
In @jamahealthforum.com, we offer the 1st national estimates. (1/7)
jamanetwork.com/journals/jam...
Payments to Physician Practices and Incentives to Serve Different Racial and Ethnic Groups
This study measures disparities across patient racial and ethnic groups in per-visit payment to physician practices from health insurers and other sources, adjusted for visit content, geographic marke...
jamanetwork.com
November 26, 2025 at 4:21 PM
🚨New Paper🚨 US doctors are paid very different amounts for treating different patients—even when providing identical services.
How much less are physicians paid for treating non-White patients?
In @jamahealthforum.com, we offer the 1st national estimates. (1/7)
jamanetwork.com/journals/jam...
How much less are physicians paid for treating non-White patients?
In @jamahealthforum.com, we offer the 1st national estimates. (1/7)
jamanetwork.com/journals/jam...
Reposted by Joseph Nwadiuko MD PHD
The foreign-born fraction of the US population was 15% in 1890, and in 1910. America thrived.
That fraction is 16% now.
The difference is that in 1890/1910, >96% of immigrants were from Europe or Canada. Today that's less than 10%.
It's best to be honest about one one is actually afraid of.
That fraction is 16% now.
The difference is that in 1890/1910, >96% of immigrants were from Europe or Canada. Today that's less than 10%.
It's best to be honest about one one is actually afraid of.
Rep. Kat Cammarck: "Today, one in six people in the US is foreign born. That quite frankly is not sustainable to maintain a culture that we are known for here in the United States."
December 2, 2025 at 6:34 PM
The foreign-born fraction of the US population was 15% in 1890, and in 1910. America thrived.
That fraction is 16% now.
The difference is that in 1890/1910, >96% of immigrants were from Europe or Canada. Today that's less than 10%.
It's best to be honest about one one is actually afraid of.
That fraction is 16% now.
The difference is that in 1890/1910, >96% of immigrants were from Europe or Canada. Today that's less than 10%.
It's best to be honest about one one is actually afraid of.
🚨🚨 Sharing my latest in BMJ Global Health about a slow growing and underappreciated crisis in global health: the countries that have the highest health workforce shortages are also suffering from significant HW unemployment, as LMIC countries struggle to accommodate their graduates:
December 2, 2025 at 2:33 PM
🚨🚨 Sharing my latest in BMJ Global Health about a slow growing and underappreciated crisis in global health: the countries that have the highest health workforce shortages are also suffering from significant HW unemployment, as LMIC countries struggle to accommodate their graduates:
Reposted by Joseph Nwadiuko MD PHD
Thrilled to share that Chris Duncan, whose conviction was vacated in April, was just granted bail today, after spending over 25 years on Louisiana's death row.
It's so rare to get good news when you're covering capital punishment, but this is one very real light in the darkness
It's so rare to get good news when you're covering capital punishment, but this is one very real light in the darkness
In January 2024 I got a one-line email from a woman I didn't know: "Jimmie Duncan an innocent man on death row is looking to get into contact with you."
I've been working on the story ever since. Here it is, finally - a @motherjones.com / @bolts.bsky.social feature: boltsmag.org/the-human-co...
I've been working on the story ever since. Here it is, finally - a @motherjones.com / @bolts.bsky.social feature: boltsmag.org/the-human-co...
The Human Cost of Jeff Landry’s Drive to Resume Executions - Bolts
Chris Duncan’s death sentence—built on the testimony of two discredited doctors—illustrates just how faulty the system can be.
boltsmag.org
November 22, 2025 at 1:15 AM
Thrilled to share that Chris Duncan, whose conviction was vacated in April, was just granted bail today, after spending over 25 years on Louisiana's death row.
It's so rare to get good news when you're covering capital punishment, but this is one very real light in the darkness
It's so rare to get good news when you're covering capital punishment, but this is one very real light in the darkness
🚨 Some new work by myself and others in @journalgim.bsky.social: Health staffing in ICE facilities is challenged, with many facilities often finding themselves without physicians and mental health professionals and 12% of sampled physicians having a record of state sanctions:
November 5, 2025 at 8:59 PM
🚨 Some new work by myself and others in @journalgim.bsky.social: Health staffing in ICE facilities is challenged, with many facilities often finding themselves without physicians and mental health professionals and 12% of sampled physicians having a record of state sanctions:
Reposted by Joseph Nwadiuko MD PHD
I’m enjoying the games and the drama, but I honestly believe if I was a real fan of either of these teams I’d be dead from a coronary.
November 2, 2025 at 3:27 AM
I’m enjoying the games and the drama, but I honestly believe if I was a real fan of either of these teams I’d be dead from a coronary.
Reposted by Joseph Nwadiuko MD PHD
Under Trump, the draconian future of homelessness policy is coming into focus: mass internment. Utah is building a 16-acre site to detain up to 1,300 homeless people inside locked "accountability centers." This is profoundly alarming.
Vital reporting from @ellenbarry.bsky.social and Jason DeParle:
Vital reporting from @ellenbarry.bsky.social and Jason DeParle:
In Utah, Trump’s Vision for Homelessness Begins to Take Shape
www.nytimes.com
October 29, 2025 at 1:42 PM
Under Trump, the draconian future of homelessness policy is coming into focus: mass internment. Utah is building a 16-acre site to detain up to 1,300 homeless people inside locked "accountability centers." This is profoundly alarming.
Vital reporting from @ellenbarry.bsky.social and Jason DeParle:
Vital reporting from @ellenbarry.bsky.social and Jason DeParle:
Reposted by Joseph Nwadiuko MD PHD
Police once charged a man w assaulting a cop bc of the liquid he “threw” on the cop.
The liquid? The man’s blood. Which was flying off his face. Which the cop had just punched.
Far too often the cops arrest ppl for the harms done by the police.
I’m hoping we are seeing a critical overreach now.
The liquid? The man’s blood. Which was flying off his face. Which the cop had just punched.
Far too often the cops arrest ppl for the harms done by the police.
I’m hoping we are seeing a critical overreach now.
Kat is being federally charged by the FBI for protesting at Broadview.
This is a flagrant political prosecution by the Trump administration, which is trying to prevent free speech and free association.
I am proud of Kat. Her movement is being targeted by the government. She needs your support.
This is a flagrant political prosecution by the Trump administration, which is trying to prevent free speech and free association.
I am proud of Kat. Her movement is being targeted by the government. She needs your support.
I have been charged in a federal indictment sought by the Department of Justice.
This political prosecution is an attack on all of our First Amendment rights. I’m not backing down, and we’re going to win.
This political prosecution is an attack on all of our First Amendment rights. I’m not backing down, and we’re going to win.
October 29, 2025 at 5:44 PM
Police once charged a man w assaulting a cop bc of the liquid he “threw” on the cop.
The liquid? The man’s blood. Which was flying off his face. Which the cop had just punched.
Far too often the cops arrest ppl for the harms done by the police.
I’m hoping we are seeing a critical overreach now.
The liquid? The man’s blood. Which was flying off his face. Which the cop had just punched.
Far too often the cops arrest ppl for the harms done by the police.
I’m hoping we are seeing a critical overreach now.
Reposted by Joseph Nwadiuko MD PHD
New: Correctional staff at a Western Maryland prison shut off the water to a mentally ill man’s cell, then allowed him to suffer for eight days before he finally died of dehydration, according to a recent court filing.
www.thebanner.com/community/cr...
www.thebanner.com/community/cr...
How a Maryland prisoner died an ‘excruciating’ death from dehydration
Lamont Mealy died of dehydration in an isolation cell at Western Correctional Institution in 2023. A lawsuit claims state officials covered it up.
www.thebanner.com
October 23, 2025 at 11:29 AM
New: Correctional staff at a Western Maryland prison shut off the water to a mentally ill man’s cell, then allowed him to suffer for eight days before he finally died of dehydration, according to a recent court filing.
www.thebanner.com/community/cr...
www.thebanner.com/community/cr...
Reposted by Joseph Nwadiuko MD PHD
People across the country are fighting for their lives and also to protect their neighbors. They are doing so in the 100s of thousands every single day. You can choose to join the fight or you can pretend that "no one is doing anything."
October 23, 2025 at 4:55 PM
People across the country are fighting for their lives and also to protect their neighbors. They are doing so in the 100s of thousands every single day. You can choose to join the fight or you can pretend that "no one is doing anything."
Mixed methods.
October 17, 2025 at 2:58 PM
Mixed methods.
Reposted by Joseph Nwadiuko MD PHD
This is called policy-based evidence making (the antipode of evidence-based policymaking, a thing we should all want)
This perfectly encapsulates how right-wing politics works and why it is so dangerous.
Rather than observing the world as it is and proposing changes, right-wing politics start with an idealized conception of the world and go about reshaping reality to confirm to that vision.
Rather than observing the world as it is and proposing changes, right-wing politics start with an idealized conception of the world and go about reshaping reality to confirm to that vision.
RFK Jr on Tylenol and autism: "It is not proof. We're doing the studies to make the proof."
October 9, 2025 at 7:08 PM
This is called policy-based evidence making (the antipode of evidence-based policymaking, a thing we should all want)
Reposted by Joseph Nwadiuko MD PHD
You can listen to my recent interview with WBUR's Here & Now:
www.npr.org/2025/10/01/n...
www.npr.org/2025/10/01/n...
Undercounted: The hidden deaths in America’s jails : Here & Now Anytime
Over a four-year period between 2019 and 2023, about 1,000 people died annually in U.S. jails. Nearly one-third of those deaths don't have a cause of death, according to an analysis of federal data by...
www.npr.org
October 3, 2025 at 2:03 AM
You can listen to my recent interview with WBUR's Here & Now:
www.npr.org/2025/10/01/n...
www.npr.org/2025/10/01/n...
Reposted by Joseph Nwadiuko MD PHD
I'm of the view that, when @adamprz.bsky.social writes about democracy, we should pay a lot of attention... adamprzeworski.substack.com/p/musings-1
September 30, 2025 at 6:18 PM
I'm of the view that, when @adamprz.bsky.social writes about democracy, we should pay a lot of attention... adamprzeworski.substack.com/p/musings-1
Reposted by Joseph Nwadiuko MD PHD
Last week, I and others reported 5+ ICE flights had landed in Ghana since it began taking third-country nationals on Sept. 5.
Now eNCA confirms at least one of those flights held Liberian, Nigerian and Togolese nationals, who were driven to Togo and dumped w/o papers. www.enca.com/news/west-af...
Now eNCA confirms at least one of those flights held Liberian, Nigerian and Togolese nationals, who were driven to Togo and dumped w/o papers. www.enca.com/news/west-af...
West Africans deported by US to Ghana dumped in Togo without papers
West Africans deported by the United States to Ghana are now fending for themselves in Togo after being dumped in the country without documents, lawyers and deportees have told AFP.
www.enca.com
September 29, 2025 at 7:14 PM
Last week, I and others reported 5+ ICE flights had landed in Ghana since it began taking third-country nationals on Sept. 5.
Now eNCA confirms at least one of those flights held Liberian, Nigerian and Togolese nationals, who were driven to Togo and dumped w/o papers. www.enca.com/news/west-af...
Now eNCA confirms at least one of those flights held Liberian, Nigerian and Togolese nationals, who were driven to Togo and dumped w/o papers. www.enca.com/news/west-af...
Okay One Battle After Another lives up to the hype
September 28, 2025 at 1:16 AM
Okay One Battle After Another lives up to the hype
Reposted by Joseph Nwadiuko MD PHD
We all need some good news
👏🏽👏🏽👏🏽
“The revolutionary HIV prevention tool, injectable lenacapavir, will be available at a cost of US$40 a year in 120 low- and middle-income countries starting in 2027”
@unitaid.bsky.social CHAI Wits RHI
unitaid.org/news-blog/le...
👏🏽👏🏽👏🏽
“The revolutionary HIV prevention tool, injectable lenacapavir, will be available at a cost of US$40 a year in 120 low- and middle-income countries starting in 2027”
@unitaid.bsky.social CHAI Wits RHI
unitaid.org/news-blog/le...
Unitaid, CHAI, and Wits RHI enter into a landmark agreement with Dr. Reddy’s to make HIV prevention tool lenacapavir affordable in LMICs - Unitaid
unitaid.org
September 24, 2025 at 12:23 PM
We all need some good news
👏🏽👏🏽👏🏽
“The revolutionary HIV prevention tool, injectable lenacapavir, will be available at a cost of US$40 a year in 120 low- and middle-income countries starting in 2027”
@unitaid.bsky.social CHAI Wits RHI
unitaid.org/news-blog/le...
👏🏽👏🏽👏🏽
“The revolutionary HIV prevention tool, injectable lenacapavir, will be available at a cost of US$40 a year in 120 low- and middle-income countries starting in 2027”
@unitaid.bsky.social CHAI Wits RHI
unitaid.org/news-blog/le...
Wow, literally pocketing fees from prisoners. That's dark.
September 24, 2025 at 3:17 PM
Wow, literally pocketing fees from prisoners. That's dark.
Reposted by Joseph Nwadiuko MD PHD
W/ immigrant detention constantly in the news, I share my portfolio of peer-reviewed research on harms of this system. In @jamanetworkopen.com, we show alarmingly high prevalence of poor health, mental illness & PTSD for all, w/ esp high rates for those detained 6+mo. jamanetwork.com/journals/jam...
July 25, 2025 at 7:48 PM
W/ immigrant detention constantly in the news, I share my portfolio of peer-reviewed research on harms of this system. In @jamanetworkopen.com, we show alarmingly high prevalence of poor health, mental illness & PTSD for all, w/ esp high rates for those detained 6+mo. jamanetwork.com/journals/jam...
Reposted by Joseph Nwadiuko MD PHD
This is why @mskellymhayes.bsky.social was right when she said it’s not hypocrisy, it’s hierarchy. I can do what I want, but when you do it to me it’s illegal, because I’m above critique and above the law.
Watch them twist themselves into pretzels to justify the hypocrisy
September 18, 2025 at 1:51 AM
This is why @mskellymhayes.bsky.social was right when she said it’s not hypocrisy, it’s hierarchy. I can do what I want, but when you do it to me it’s illegal, because I’m above critique and above the law.
Reposted by Joseph Nwadiuko MD PHD
Not really an overstatement to say that the test of a free society is whether or not comedians can make fun of the country's leader on TV without repurcussions.
July 18, 2025 at 3:39 PM
Not really an overstatement to say that the test of a free society is whether or not comedians can make fun of the country's leader on TV without repurcussions.
Reposted by Joseph Nwadiuko MD PHD
It’s now officially official. PrimeCare is out at Dauphin County Prison after years of allegations of medical neglect and conflicts of interest.
Mediko will take over on October 1.
This is big!
www.pennlive.com/news/2025/09...
Mediko will take over on October 1.
This is big!
www.pennlive.com/news/2025/09...
At Dauphin County Prison, a new healthcare provider is in and troubled PrimeCare is out
The commissioners approved a contract with a new company in a 2-1 vote Wednesday.
www.pennlive.com
September 17, 2025 at 5:16 PM
It’s now officially official. PrimeCare is out at Dauphin County Prison after years of allegations of medical neglect and conflicts of interest.
Mediko will take over on October 1.
This is big!
www.pennlive.com/news/2025/09...
Mediko will take over on October 1.
This is big!
www.pennlive.com/news/2025/09...
Reposted by Joseph Nwadiuko MD PHD
The Women’s Refugee Commission Detention Pregnancy Tracker: A Critical Tool for Documenting the Treatment of Pregnant Women in Immigration Detention
🚨 Have you seen a pregnant woman in ICE custody? Submit a report today. -- Please share widely!
austinkocher.substack.com/p/the-womens...
🚨 Have you seen a pregnant woman in ICE custody? Submit a report today. -- Please share widely!
austinkocher.substack.com/p/the-womens...
The Women’s Refugee Commission Detention Pregnancy Tracker: A Critical Tool for Documenting the Treatment of Pregnant Women in Immigration Detention
🚨 Have you seen a pregnant woman in ICE custody? Submit a report today.
austinkocher.substack.com
September 16, 2025 at 2:16 PM
The Women’s Refugee Commission Detention Pregnancy Tracker: A Critical Tool for Documenting the Treatment of Pregnant Women in Immigration Detention
🚨 Have you seen a pregnant woman in ICE custody? Submit a report today. -- Please share widely!
austinkocher.substack.com/p/the-womens...
🚨 Have you seen a pregnant woman in ICE custody? Submit a report today. -- Please share widely!
austinkocher.substack.com/p/the-womens...
Reposted by Joseph Nwadiuko MD PHD
the thing to understand is that for many people the violence of order maintenance is simply not seen as violence in the first place
September 12, 2025 at 1:14 PM
the thing to understand is that for many people the violence of order maintenance is simply not seen as violence in the first place