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Topher Spiro Profile picture
@TopherSpiro
Jan 28 • 5 tweets • 1 min read • Read on X
As a former associate director at OMB, I have some thoughts about this OMB memo...
1. I have no doubt that OMB lawyers would believe this is illegal.
2. I know Matt Vaeth. This memo reads like a hostage note written directly by Russ Vought, who is not confirmed.
3. This is cruel. A sampling of funding potentially affected in health care:
-all opioid prevention funding
-all mental health funding
-funding for community health centers
-suicide prevention, and the suicide lifeline
-HIV/AIDS treatment
-grants to states to address avian flu
In sum, Russ Vought is illegally carrying out his ideological agenda with greatest harm to the most vulnerable--including many in the working class and rural communities who voted for Trump. A massive fraud.

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More from @TopherSpiro

Topher Spiro Profile picture
May 6, 2020
THREAD: Several big states - CA, NY, IL - appear to be relying on hospitalizations, rather than incidence, as their key threshold for reopening. Here's why that's a mistake:
For starters, it's become clear that people are dying in their homes. So while hospitalizations are one measure of severity, it's one measure.
As @mattyglesias has argued, relying on hospitalizations suggests a focus on mitigation to flatten the curve and ensure hospital capacity. But that's not all we should care about...
Read 11 tweets
Topher Spiro Profile picture
May 4, 2020
NEW: Evidence-based thresholds states must meet to safely reopen their economies. No state currently meets thresholds for both incidence and testing.
americanprogress.org/issues/healthc…
Here are the incidence thresholds compared to current incidence. Only 8 states—Alaska, Hawaii, Idaho, Maine, Montana, Oregon, Vermont, and West Virginia—currently meet this threshold.
Nationally, the U.S. is at about 29,000 new cases per day. We need to get down to about 5,800 to control spread. This would achieve South Korean incidence levels.
Read 7 tweets

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