New in @NEJM– I argue that medical societies should support (socially, financially, legally…) members who disobey state laws that put pregnant patients at risk of harm. *Professional* civil disobedience has some important unique features. A🧵… 1/ nejm.org/doi/full/10.10… First, you should know that there is remarkably strong agreement among medical associations that the #Dobbs decision was a terrible mistake and an infringement on fundamental human rights. Just try Googling “medical association statements on Dobbs” 2/ ama-assn.org/delivering-car…

@mattyglesias Not every year. Measles was elimited from the US in 2000, but un- or under-vaccinated communities have reintroduced the disease and when outbreaks arise, they typically infect a few vaccinated people along with mostly unvaccinated people. 1/ @mattyglesias In the 2019 measles outbreaks, "among the 704 cases, 503 (71%) were in unvaccinated persons," so the remainder were 'breakthrough' cases among vaccinated people. cdc.gov/mmwr/volumes/6…

I’m trying to wrap my head around how someone getting steroids yesterday could head home today, even if home is the White House, and I think I’ve got it... The thing is, I think many if not all of us I. Medicine have just assumed that if he got steroids it’s because he was *supposed* to get steroids. That is, he was really sick.

Yes, it’s a “devastating” op-ed, but the study itself raises several more questions than it answers.
BTW, I say this as a skeptic of readmission penalties from the outset, since readmissions are mostly for reasons not directly related to the original admission… 1/

https://twitter.com/ashishkjha/status/1076205535186305024

Best estimates today are that only a small fraction of readmissions can be avoided by better care during the initial hospitalization. And the bottom line is that we shouldn’t penalize people for things over which they have little/no control. 2/