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Aaron Mitchell @thewonkologist.bsky.social · 1d

I'll be presenting our new findings at @ascocancer.bsky.social Quality this weekend!

I was surprised to find an apparent lack of association between private equity ownership and low-value (but high-profit) cancer care:

meetings.asco.org/abstracts-pr...
@reshmagar.bsky.social

Program Guide – ASCO Meeting Program Guide

meetings.asco.org

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Aaron Mitchell @thewonkologist.bsky.social · 1d

I'll be presenting our new findings at @ascocancer.bsky.social Quality this weekend!

We found substantial health system-level variation in the appropriate use of bone agents to prevent fractures in prostate cancer:
meetings.asco.org/abstracts-pr...
@mjmorrismd.bsky.social

Program Guide – ASCO Meeting Program Guide

meetings.asco.org

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Reposted by Aaron Mitchell

Larry Levitt @larrylevitt.bsky.social · 5d

New: Broad support across the political spectrum for extending enhanced ACA premium tax credits.

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Reposted by Aaron Mitchell

Adam Serwer @adamserwer.bsky.social · 12d

The wounded knee thing is really Trumpism distilled to its essence. It’s not enough to be able crush people who can’t fully defend themselves, it’s not enough to actually crush them, you also have to love and admire those who do the crushing otherwise the Trumpists’ delicate feelings are injured

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Reposted by Aaron Mitchell

Catherine Rampell @crampell.bsky.social · 12d

got some bad news for anyone who voted for Trump because he promised to bring down prices
www.ft.com/content/dd6d...

Donald Trump announces 100% tariff on branded pharmaceutical products

The US president also unveiled levies on heavy trucks, kitchen cabinets and bathroom vanities

www.ft.com

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Aaron Mitchell @thewonkologist.bsky.social · 13d

I’m not following the question? No relevance of these policies to surgery as far as I’m aware

Reposted by Aaron Mitchell

Seth Boo!-ger Trueger @mdaware.org · 13d

and another thing,

Sam Leader Standing By 🍉🕎 @rvengefulobster.bsky.social · 13d

No I do not want to sign into software.

90% of software should just run on your computer and do the thing it's built to do.

Not everything needs to be signed into.

There's no reason I should have to sign into Adobe Acrobat reader!

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Aaron Mitchell @thewonkologist.bsky.social · 13d

You know Merck and Bristol Meyers lobbied hard for this!

There is no reason to delay price negotiation on these drugs rather than a desire to transfer a few $billion more from taxpayers and patients to pharma. Opdivo and Keytruda among the highest-selling drugs globally

www.kff.org/medicare/peo...

People with Medicare Will Face Higher Costs for Some Orphan Drugs Due to Changes in the New Tax and Budget Law | KFF

This brief analyzes changes in the new tax and budget reconciliation law that modify which drugs will be selected for Medicare drug price negotiation, which will lead to higher Medicare spending and h...

www.kff.org

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Reposted by Aaron Mitchell

David Corn @davidcorn.bsky.social · 15d

This ought to be engraved somewhere.

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Reposted by Aaron Mitchell

John Timmer @jtimmer.bsky.social · 15d

Just a reminder that the head of the NIH was up on stage today as Trump spewed item after item that science has already convincingly demonstrated are false. And he has done nothing to get the American public more accurate information.

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Aaron Mitchell @thewonkologist.bsky.social · 15d

“But fewer worry about accepting modest gifts and say engagement helps educate on treatments”

Those are concerning trends, especially because those views are contrary to the evidence.

pharmalot.bsky.social @pharmalot.bsky.social · 15d

Most doctors believe interactions with pharma erode public trust, analysis finds.. statnews.com/pharmalot/20... #pharma #money #medicines #DTC #advertising #conflicts #doctors #trust

Most doctors believe interactions with pharma erode public trust, analysis finds

Most doctors believe interactions with pharma erode public trust, analysis finds. But doctors also said those meetings also have value.

statnews.com

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Reposted by Aaron Mitchell

Justin Wolfers @justinwolfers.bsky.social · 17d

Think of an economy as like baking a cake. H1-B visas exist so that if you're out of a specific ingredient, you can Instacart it and keep baking. Add a $100k delivery charge and you'll choose to:
1. Quit baking; or
2. Use an inferior recipe; or
3. Import cake instead of making it

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Aaron Mitchell @thewonkologist.bsky.social · 17d

3yo:
“i’m not very good at taking care of people but i’m a doctor so i just let people rest and go away and work on my computer”
🤣🤣🤣

Are we that transparent though? 🤔

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Aaron Mitchell @thewonkologist.bsky.social · 17d

Modified millennial complaint: why is 2025 music worse than 2005 iTunes?

Aaron Mitchell @thewonkologist.bsky.social · 17d

I guess it became “Music” but I still hold Music to its standards

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Aaron Mitchell @thewonkologist.bsky.social · 17d

Why does iTunes keep getting worse?

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Reposted by Aaron Mitchell

Jonathan Howard @joho.bsky.social · 21d

Hoping to use the Streisand effect, I’ve recovered and organized my lost YouTube videos to explain how COVID disinformation that began in spring 2020 led directly to this moment.

It’s the video version of Everyone Else is Lying to You.

Here’s a summary and preview.

I hope you find it valuable.

Everyone Else is Lying to You: Table of Contents

Enjoy content without interruptions!

rumble.com

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Aaron Mitchell @thewonkologist.bsky.social · Sep 5

All analyses by rockstar resident Dr. Judy Wang at Weill Cornell. She will be on the oncology fellowship match circuit in the near future for all you PDs out there!

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vivo.weill.cornell.edu/display/cwid...

Wang, Judy

vivo.weill.cornell.edu

Aaron Mitchell @thewonkologist.bsky.social · Sep 5

Price DECREASES, when they occurred, were largely driven by generics and biosimilars. For indications with a new entrant, median cost decrease was –57% (IQR, –78% to –44%).

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Aaron Mitchell @thewonkologist.bsky.social · Sep 5

The price INCREASES were concentrated in NEW indications - new patient subgroups that the NCCN has included since 2017. Think, biomarker subsets and patients receiving targeted drugs.
For these, median monthly cost was $21,524 per month vs. $17,936 for other indications.

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Aaron Mitchell @thewonkologist.bsky.social · Sep 5

We looked over 4 years, 2017-2021.

For indications that were present in both years, prices were surprisingly (to us!) stable. Some increases, but overall offset by inflation. The median change in price for these indications was –2% (IQR, –39% to +9%).

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Aaron Mitchell @thewonkologist.bsky.social · Sep 5

Our latest work, out today in JCO Oncology Practice!

We asked the question, "for each cancer indication, how has the price of the standard-of-care/optimal regimen changed over time?"

Brief thread to follow with key findings.

ascopubs.org/doi/10.1200/...

Changes in Cost of Guideline-Concordant Cancer Treatment: Observations and Implications | JCO Oncology Practice

PURPOSECost of cancer care in the United States is substantial. Previous studies have explored pricing comparisons at the level of individual cancer drugs but not that of clinical indications. This st...

ascopubs.org

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Aaron Mitchell @thewonkologist.bsky.social · Sep 4

BREAKING:
Republican leaders are shocked, SHOCKED, to learn that confirming appointees hand-picked to enact antivax policy has led to antivax policy being enacted.

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Reposted by Aaron Mitchell

Dan Weissmann @danweissmann.bsky.social · Sep 4

Excellent primer. Go ahead and bookmark it. You, or somebody you know, is gonna need it.
kffhealthnews.org/news/article...

Fighting a Health Insurance Denial? Here Are 7 Tips To Help - KFF Health News

Many people don’t know they can fight a health insurance denial, let alone how to do it. Here are practical tips for consumers who want to appeal a prior authorization decision.

kffhealthnews.org

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Reposted by Aaron Mitchell

Gregg Gonsalves @gregggonsalves.bsky.social · Sep 2

@kasie.bsky.social: wow. Thank you. Great work.

jen sometimes aph 🌻 @bunnibytz.bsky.social · Sep 2

KASIE HUNT: Over the summer you said, “There’s no vaccine that’s safe and effective”. Do you still believe that?

RFK JR: “I never said that.”

KASIE HUNT: “Play the clip.”

RFK JR (clip): “There’s no vaccine that is safe and effective.” (March 2024)

ht: @cwebbonline.com

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