MB the OT
@mbtheot.bsky.social
If health systems had any taste, OT would be in charge. Until then, let's build community and redesign care
SNAP exists to reduce hunger by increasing purchasing power.
It is not designed to be a behavioral correction program.
It is not designed to be a behavioral correction program.
January 25, 2026 at 5:13 AM
SNAP exists to reduce hunger by increasing purchasing power.
It is not designed to be a behavioral correction program.
It is not designed to be a behavioral correction program.
Page 18 of the application proposes SNAP food restriction waivers framed to “lower healthcare costs by decreasing diet-related diseases and promoting long-term public health.”
Evidence and research do not support their statement and that raises serious red flags for me as a clinician.
Evidence and research do not support their statement and that raises serious red flags for me as a clinician.
January 20, 2026 at 4:45 PM
Page 18 of the application proposes SNAP food restriction waivers framed to “lower healthcare costs by decreasing diet-related diseases and promoting long-term public health.”
Evidence and research do not support their statement and that raises serious red flags for me as a clinician.
Evidence and research do not support their statement and that raises serious red flags for me as a clinician.
Included in Nevada’s RHT application are policy proposals that were not highlighted in public presentations.
Page numbers matter. 👀
Page numbers matter. 👀
January 19, 2026 at 11:47 PM
Included in Nevada’s RHT application are policy proposals that were not highlighted in public presentations.
Page numbers matter. 👀
Page numbers matter. 👀
Nevada submitted its RHT program application quietly.
No statewide access or review of the document.
No public comment period on the application.
Important policies shouldn’t rely on obscurity.
No statewide access or review of the document.
No public comment period on the application.
Important policies shouldn’t rely on obscurity.
January 17, 2026 at 8:52 PM
Nevada submitted its RHT program application quietly.
No statewide access or review of the document.
No public comment period on the application.
Important policies shouldn’t rely on obscurity.
No statewide access or review of the document.
No public comment period on the application.
Important policies shouldn’t rely on obscurity.
Friendly reminder: accountability isn’t opposition.
Asking questions is how we protect state and federal programs from doing harm.
Asking questions is how we protect state and federal programs from doing harm.
January 15, 2026 at 8:02 PM
Friendly reminder: accountability isn’t opposition.
Asking questions is how we protect state and federal programs from doing harm.
Asking questions is how we protect state and federal programs from doing harm.
Rural healthcare doesn’t fail because people “make bad choices.”
It fails when wages, transportation, workforce shortages, and access barriers are ignored. Rural health transformation programming should address those.
It fails when wages, transportation, workforce shortages, and access barriers are ignored. Rural health transformation programming should address those.
January 13, 2026 at 10:47 PM
Rural healthcare doesn’t fail because people “make bad choices.”
It fails when wages, transportation, workforce shortages, and access barriers are ignored. Rural health transformation programming should address those.
It fails when wages, transportation, workforce shortages, and access barriers are ignored. Rural health transformation programming should address those.
When large sums of public money move quickly, oversight matters even more.
Following the funding is a public-health activity.
Monitor and follow along with me: nvha.nv.gov/Community/Ru...
Following the funding is a public-health activity.
Monitor and follow along with me: nvha.nv.gov/Community/Ru...
nvha.nv.gov
January 12, 2026 at 4:30 PM
When large sums of public money move quickly, oversight matters even more.
Following the funding is a public-health activity.
Monitor and follow along with me: nvha.nv.gov/Community/Ru...
Following the funding is a public-health activity.
Monitor and follow along with me: nvha.nv.gov/Community/Ru...
RHT proposals are supposed to be evidence-based, community-informed, and transparent.
Those words matter. I’ll keep coming back to them with appreciation for anyone who does the same.
Those words matter. I’ll keep coming back to them with appreciation for anyone who does the same.
January 12, 2026 at 1:30 AM
RHT proposals are supposed to be evidence-based, community-informed, and transparent.
Those words matter. I’ll keep coming back to them with appreciation for anyone who does the same.
Those words matter. I’ll keep coming back to them with appreciation for anyone who does the same.
Nevada’s RHT funding isn’t abstract, it shapes clinics, food access, workforce pipelines, and how care actually reaches rural communities.
Policy decisions here will affect real people, not spreadsheets.
Find the application: nvha.nv.gov/Community/Ru...
Policy decisions here will affect real people, not spreadsheets.
Find the application: nvha.nv.gov/Community/Ru...
nvha.nv.gov
January 10, 2026 at 3:34 PM
Nevada’s RHT funding isn’t abstract, it shapes clinics, food access, workforce pipelines, and how care actually reaches rural communities.
Policy decisions here will affect real people, not spreadsheets.
Find the application: nvha.nv.gov/Community/Ru...
Policy decisions here will affect real people, not spreadsheets.
Find the application: nvha.nv.gov/Community/Ru...
The Rural Health Transformation Program (RHT) is a federal CMS initiative meant to improve access, workforce stability, and health outcomes in rural populations.
In theory? Sounds great.
In practice? I already have serious concerns with Nevada's application.
In theory? Sounds great.
In practice? I already have serious concerns with Nevada's application.
January 9, 2026 at 6:07 PM
The Rural Health Transformation Program (RHT) is a federal CMS initiative meant to improve access, workforce stability, and health outcomes in rural populations.
In theory? Sounds great.
In practice? I already have serious concerns with Nevada's application.
In theory? Sounds great.
In practice? I already have serious concerns with Nevada's application.
Nevada was awarded $180 million to strengthen rural healthcare.
Big question: How is the state planning to use it?
I’ll be posting updates as a Nevada healthcare provider reading the fine print, so you don’t have to. Follow along. 👀
Big question: How is the state planning to use it?
I’ll be posting updates as a Nevada healthcare provider reading the fine print, so you don’t have to. Follow along. 👀
January 8, 2026 at 8:15 PM
Nevada was awarded $180 million to strengthen rural healthcare.
Big question: How is the state planning to use it?
I’ll be posting updates as a Nevada healthcare provider reading the fine print, so you don’t have to. Follow along. 👀
Big question: How is the state planning to use it?
I’ll be posting updates as a Nevada healthcare provider reading the fine print, so you don’t have to. Follow along. 👀