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Topher Spiro Profile picture
Topher Spiro
@TopherSpiro
Senior Fellow @amprog. Former White House Office of Management and Budget.
7 subscribers
Nov 6 • 9 tweets • 2 min read
You will be shocked to learn that Trump's obesity drug announcement was a scam that the press parroted uncritically.
nytimes.com/2025/11/06/hea… First off, the headline $149 price is only for a future pill (pills cost less than injectables), and only for a starter dose of 4 weeks. 4 weeks!
Jan 28 • 5 tweets • 1 min read
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.
May 6, 2020 • 11 tweets • 3 min read
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.
May 4, 2020 • 7 tweets • 2 min read
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.