As someone who knows more than a little about the history of the railway industry and occupational and public health (both US and UK, actually), I'm rendered almost speechless by what is happening with the possible strikes in the U.S.

I firmly believe that it is difficult to understand contemporary problems in public health policy and even health care policy in the US w/o really integrating the histories of the railway industry and railway medicine. The connections are LEGION.

They include:

- basic reasons why private health care is provided by third parties rather than directly from corporations and employers;

- the origins of the #ManufactureOfDoubt in regulated industries;

- accusations of #malingering and feigned illness in social policy;

- Stigma and skepticism against patients and workers experiencing injuries and illnesses that are not easily objectified;

And many others to boot. In fact, @TheNeuroTimes and I were inspired to convene @chstmorg Working Group on "Malingering and Health Policy" in part

Because of our belief that the historical roots of the railway industry in shaping contemporary public health and social policy in the US has not been fully apprehended or explored (there is good work here but a lot left to do IMO).

I've explored some of these roots in a variety of papers and arguments, including but limited to some of the following:………

Analysis of the railroad industry's significant role in developing the #ManufactureOfDoubt is also a major part of at least one chapter in #TheThirdBook.

So to hear that, yet again, the industry is transgressing basic norms of population and occupational health is ...

Just a bit much for this guy. #WhatIsNewIsOld, but I am still always shocked and never surprised. There's so much here and so much yet to be done.


#PHEthx #HistPubHealth #HistoryMatters #PHLaw #PolicyStudies #HistoryAndPolicy #LaborHistory #OccHealth
Forgot to Mention:

The rise of private tort litigation at the fin-de-siecle is also traceable in important ways to the RR industry.

This includes the ascent of medical malpractice actions ... See book from my friend & colleague Ken DeVille:…


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More from @prof_goldberg

Sep 20
For those following at home, the advice on the Intarwebz explicitly warns against any kind of preheating an empty enameled cast-iron vessel in a cold oven (even if you begin the preheat with the vessel in the oven). To wit:

1/ NEVER Preheat An Empty Dutc...
Note that this warning is not identical to warning against placing a cold empty vessel in a preheated oven. That too is inadvisable but is not the same warning as above.

2/… NEVER Drastically Change th...Never preheat an empty, ena...
This is just one website but the same advice is easily found on countless others. Picking up on this problem, @kingarthurflour had a long post comparing bread baked in a "cold" Dutch oven vs. a preheated and found little appreciable difference:…

Read 5 tweets
Sep 19
Look, I just do not understand how to use cloches or bread bakers. I have a nice one which was a gift, but my breads are almost always better when I just bake on a sheet.

I get the idea, I think. When you preheat the vessel and load the dough in

The escaping moisture creates steam (can also be added via various techniques I use). The lid keeps the steam in which helps with a beautiful rise and makes an awesome crust. I get this. But the reality is much more complex for me.

First, I have an enameled cast-iron and a stoneware cloche, neither of which can be preheated empty. So when I load the proofed dough in the vessel into the oven, the vessel itself takes awhile to build up heat.

Read 6 tweets
Aug 22
There's a lot in this thread, but one pt I'd like to extract is connected to something I've been arguing for years and #onhere quite a bit recently:

#MethodologicalIndividualism in public health occurs where we position the individual as the unit of change.

This is in comparison to structural interventions, which often alter upstream factors and institutions. My favorite example of the latter is laws and policies, but can also include infrastructure and built environmental changes, etc.

But leading public health officials in the US have completely followed the #MethodologicalIndividualism that has dominated public health policy and priorities for much of the 20th c. until now. See:

Read 13 tweets
Aug 11
Honestly, the complete takeover of population health policy and approaches by a #medicalized notion of #MethodologicalIndividualism sort of fills me with despair -- not just now, but for the future of public health.

1/… "This guidance acknowledges that the pandemic is not ov
Of all the missteps CDC has made, the doubling-down on approaches that position the individual as the unit of change (#MethodologicalIndividualism and b/c of the source) essentially sanctions it as the dominant mode for public health practice is arguably rock bottom.

It's in the scientific guidance as well. Look at this sentence:

This is of course NOT a Whole Population Approach or even a structural approach to health equity which would require action from those with the power and agency to redress the effects of #StructuralViolence and

3/ high COVID-19 Community Levels. Public health efforts should
Read 7 tweets
Aug 11
The Kid is a patrilineal Jew (raised Jewish). We've had ++ discussions about how the orthodox rabbinate are not popes, & no one has the authority to exclude zher from Jewish community.

As a Patrilineal Jew, I See Myself in the Golem… via @hey_alma
@hey_alma We've discussed our obligations to observe halacha on this and many other issues -- but it is absolute nonsense to me that a person raised Jewish from birth, observing important practices & rituals, being called to Torah for B'nai Mitzvah, is nevertheless deemed to be cosplaying+
@hey_alma Judaism b/c the "wrong" parent is Jewish. Sorry, wrong and transgressive answer. A person who seeks to live a Jewish life and actively engages in Jewish traditions and communities is Jewish. IDGAF what the orthodox rabbinate thinks about this. They are not popes. +
Read 4 tweets
Jul 18
I am super happy to announce that I have been awarded a US$5000 grant from @StraussLibrary to develop an OER ("Open Educational Resource") Casebook of Public Health Ethics Teaching Cases.

Other than the wonderful CDC Casebook, teaching cases in #PHEthx are scarce.

I should know, since I have been scraping the Internet for a decade trying to find them. One of the first-day axioms in #PHEthx is that in important ways it is simply different from health care/clinical ethics. Good teaching cases must reflect these differences.

But some of the early casebooks are frankly dated, and other than the remarkable CDC Casebook ⬇️ there simply are not any good collections of cases really focused on public health ethics & law/policy (let alone open-source ones, either).…

Read 6 tweets

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