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Michael L. Barnett

@mlbarnett

health policy researcher, primary care physician, dad

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17.12.2023
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Latest posts by Michael L. Barnett @mlbarnett

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Private Equity’s Transformation of American Medicine — Implications for Health Equity | NEJM Private equity firms have gained increasing control of U.S. health care infrastructure. Along with other potential consequences, this growth threatens to undermine progress in health equity.

Our work in NEJM www.nejm.org/doi/pdf/10.1...

08.03.2026 17:42 👍 21 🔁 8 💬 1 📌 0
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Boston Symphony Abruptly Ends Its Music Director’s Contract

Oh, wow

08.03.2026 01:04 👍 15 🔁 8 💬 3 📌 2
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How Elon Musk’s Sci-Fi Hyperloop Failed Before his misadventures in government efficiency, Musk promised to revolutionize commuting with a subway that would speed passengers between DC and Baltimore in a matter of minutes. The project was a...

A year long investigation into the Hyperloop found …

“The truth was far simpler, far dumber, and far more prescient: Musk and his lieutenants truly had no idea what they were doing.”

washingtonian.com/2026/02/12/h...

07.03.2026 16:24 👍 1467 🔁 550 💬 73 📌 123

this is very grim

07.03.2026 03:44 👍 3 🔁 0 💬 0 📌 1
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White House autism briefing linked to swift shifts in prescribing patterns, study finds A new study showed a significant decrease in acetaminophen use during pregnancy and a surge in leucovorin prescriptions after a September 2025 announcement that included comments by the president and head of the FDA.

During a Sept White House briefing, President Trump raised concerns about #Tylenol use during pregnancy. A sharp change nationwide in how doctors prescribed that medication followed. “The results show just how much political leaders can steer health behavior," Professor @mlbarnett.bsky.social says.

06.03.2026 21:13 👍 2 🔁 1 💬 0 📌 0

I think it's the latter most likely. Can't really observe it without very different data!

06.03.2026 20:45 👍 1 🔁 0 💬 0 📌 0
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Pregnant women in ERs took less Tylenol after Trump autism warning A study in The Lancet finds that pregnant women in emergency rooms used less Tylenol after President Trump said it could raise their babies' risk of autism. Scientists say there is no proven link.

From @jeremyfaust.bsky.social

“Doctors and scientists quickly said the data didn't support the president's claim, but emergency room orders for Tylenol, or acetaminophen, for pregnant patients went down 10% in the months that followed”

06.03.2026 12:58 👍 21 🔁 12 💬 1 📌 0

you can use some tricks to get powerful output actually. we have at least two other pretty big papers in the works using SlicerDicer if you can believe it

06.03.2026 01:51 👍 2 🔁 0 💬 0 📌 0

we used SlicerDicer for these data so these dates are real actually! I think the dates are scrambled for the more detailed encounter-level data available in their "data science" environment

06.03.2026 01:22 👍 1 🔁 0 💬 1 📌 0

1) better than expected!
2) yes :)

06.03.2026 01:21 👍 2 🔁 0 💬 0 📌 0
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Changes in paracetamol and leucovorin use after a White House briefing Changes in federal prescribing recommendations follow deliberate and transparent processes involving US Food and Drug Administration (FDA) scientists, which normally include input from stakeholders an...

What happened after the weird Sept 2025 White House press conference on autism?

📉 Tylenol use in the ED dropped >10% among pregnant patients
📈 leucovorin rx jumped 93% among kids 5-17 immediately afterwards

new @thelancet.com today with @jeremyfaust.bsky.social

www.thelancet.com/journals/lan...

06.03.2026 00:29 👍 53 🔁 29 💬 4 📌 6
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Changes in paracetamol and leucovorin use after a White House briefing Changes in federal prescribing recommendations follow deliberate and transparent processes involving US Food and Drug Administration (FDA) scientists, which normally include input from stakeholders an...

Thanks to my intrepid and brilliant co-author @jeremyfaust.bsky.social and @thelancet.com for publishing. Please share thoughts and feedback!

www.thelancet.com/journals/lan...

06.03.2026 00:29 👍 8 🔁 0 💬 1 📌 0
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How pregnant women’s Tylenol use changed after Trump linked it to autism The American College of Obstetricians and Gynecologists and American Academy of Pediatrics say the science does not clearly tie Tylenol use in pregnancy to autism, despite Trump’s warnings.

Federal health officials have enormous sway in shifting health behaviors. as @jeremyfaust.bsky.social put in @washingtonpost.com "There are people who listen to our leaders, and they have an enormous responsibility to speak in a way that the science reflects"

www.washingtonpost.com/health/2026/...

06.03.2026 00:29 👍 7 🔁 0 💬 1 📌 0
Figure Weekly emergency department orders and outpatient prescriptions, June 30 to Dec 7, 2025
(A) Pregnant female individuals aged 15–44 years. Emergency department orders for non-pregnant females (aged 15–44 years) are displayed in the appendix (p 5). (B) Children aged 5–17 years. Note that scales differ between the left axis (folic acid, risperidone, and aripiprazole) and right axis (leucovorin). Modelled expected rates are shown as dashed lines of the same colour. For both panels, the grey vertical dashed line indicates Sept 22, 2025, the date of the White House briefing. Observed-to-expected numbers and ratios with 95% CIs for each medication for the study period (Sept 22 to Dec 7) and the initial month of the study period (Sept 22 to Oct 19) are shown in the appendix (pp 3, 4, 6).

Figure Weekly emergency department orders and outpatient prescriptions, June 30 to Dec 7, 2025 (A) Pregnant female individuals aged 15–44 years. Emergency department orders for non-pregnant females (aged 15–44 years) are displayed in the appendix (p 5). (B) Children aged 5–17 years. Note that scales differ between the left axis (folic acid, risperidone, and aripiprazole) and right axis (leucovorin). Modelled expected rates are shown as dashed lines of the same colour. For both panels, the grey vertical dashed line indicates Sept 22, 2025, the date of the White House briefing. Observed-to-expected numbers and ratios with 95% CIs for each medication for the study period (Sept 22 to Dec 7) and the initial month of the study period (Sept 22 to Oct 19) are shown in the appendix (pp 3, 4, 6).

Second, the press conference promoted the use of leucovorin for treatment of autism, even though its potential use only applies to a very rare subset of kids.

Here, we looked at leucovorin prescriptions among kids 5-17 compared to other FDA-approved meds for autism and also saw a huge spike.

06.03.2026 00:29 👍 17 🔁 4 💬 1 📌 0
Figure Weekly emergency department orders and outpatient prescriptions, June 30 to Dec 7, 2025 
(A) Pregnant female individuals aged 15–44 years. Emergency department orders for non-pregnant females (aged 15–44 years) are displayed in the appendix (p 5). (B) Children aged 5–17 years. Note that scales differ between the left axis (folic acid, risperidone, and aripiprazole) and right axis (leucovorin). Modelled expected rates are shown as dashed lines of the same colour. For both panels, the grey vertical dashed line indicates Sept 22, 2025, the date of the White House briefing. Observed-to-expected numbers and ratios with 95% CIs for each medication for the study period (Sept 22 to Dec 7) and the initial month of the study period (Sept 22 to Oct 19) are shown in the appendix (pp 3, 4, 6).

Figure Weekly emergency department orders and outpatient prescriptions, June 30 to Dec 7, 2025 (A) Pregnant female individuals aged 15–44 years. Emergency department orders for non-pregnant females (aged 15–44 years) are displayed in the appendix (p 5). (B) Children aged 5–17 years. Note that scales differ between the left axis (folic acid, risperidone, and aripiprazole) and right axis (leucovorin). Modelled expected rates are shown as dashed lines of the same colour. For both panels, the grey vertical dashed line indicates Sept 22, 2025, the date of the White House briefing. Observed-to-expected numbers and ratios with 95% CIs for each medication for the study period (Sept 22 to Dec 7) and the initial month of the study period (Sept 22 to Oct 19) are shown in the appendix (pp 3, 4, 6).

First, President Trump cautioned against acetaminophen use in pregnancy using a cherry picked study. We looked at how this might change behavior of pregnant patients in the ED.

We found an immediate drop of ~16% in use of Tylenol among pregnant women without changes in control meds.

06.03.2026 00:29 👍 20 🔁 3 💬 3 📌 0
Page one of The Lancet correspondence: Changes in paracetamol and leucovorin use after a White House briefing

Page one of The Lancet correspondence: Changes in paracetamol and leucovorin use after a White House briefing

Page two of The Lancet correspondence: Changes in paracetamol and leucovorin use after a White House briefing

Page two of The Lancet correspondence: Changes in paracetamol and leucovorin use after a White House briefing

Using the powerful Epic Cosmos electronic health record database @jeremyfaust.bsky.social and I looked at changes coming from two key recommendations during the widely covered Sept. 22 2025 White House press conference on autism. We found a surprisingly abrupt and immediate public response.

06.03.2026 00:29 👍 6 🔁 0 💬 1 📌 0
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Changes in paracetamol and leucovorin use after a White House briefing Changes in federal prescribing recommendations follow deliberate and transparent processes involving US Food and Drug Administration (FDA) scientists, which normally include input from stakeholders an...

What happened after the weird Sept 2025 White House press conference on autism?

📉 Tylenol use in the ED dropped >10% among pregnant patients
📈 leucovorin rx jumped 93% among kids 5-17 immediately afterwards

new @thelancet.com today with @jeremyfaust.bsky.social

www.thelancet.com/journals/lan...

06.03.2026 00:29 👍 53 🔁 29 💬 4 📌 6
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This RAND report puts the RHTP's inability to offset upcoming Medicaid cuts in grim perspective

www.rand.org/pubs/researc...

05.03.2026 16:12 👍 49 🔁 27 💬 0 📌 2
Chart showing in many countries, people see their fellow citizens as morally good.

Chart showing in many countries, people see their fellow citizens as morally good.

We asked people around the world to rate the morality and ethics of others in their country.

The U.S. is the only place we surveyed where more adults describe the morality and ethics of others living in the country as bad than good. See our full morality report here: www.pewresearch.org/...

05.03.2026 15:06 👍 482 🔁 250 💬 40 📌 184
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A medical journal says the case reports it has published for 25 years are, in fact, fiction A Canadian journal has issued corrections on 138 case reports it published over the last 25 years to add a disclaimer: The cases described are fictional. Paediatrics & Child Health, the journal…

A Canadian journal has issued corrections on 138 case reports it published over the last 25 years to add a disclaimer:

The cases described are fictional.

03.03.2026 22:00 👍 59 🔁 26 💬 3 📌 12
Discontinuities In Clinical Practice: RD Evidence on Heuristics, Stigma, and Guideline Thresholds

If you're buying plane tickets to ASHEcon '26, make sure you stay for our session (last of the conference) of 3 RDs studying heuristics, stigma, & guidelines. With @aschwartz.bsky.social, @vinisingh.bsky.social, @dzeltzer.bsky.social, and @mlbarnett.bsky.social! ashecon.confex.com/ashecon/2026...

02.03.2026 13:48 👍 1 🔁 1 💬 0 📌 0
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Elite Doctors Served Jeffrey Epstein While Treating His ‘Girls’

NEW: I and colleagues reviewed 15,000 documents to illuminate how Jeffrey Epstein used VIP doctors to control and manipulate young women* — and how the doctors helped him, treating his needs as more important than the patients'. Gift link.

*see next post in thread

28.02.2026 16:56 👍 1368 🔁 741 💬 44 📌 58
27.02.2026 21:11 👍 4 🔁 1 💬 0 📌 1
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The Nazis stopped Jewish doctors from practising, so thousands of them left the country (my great grandfather was one of them). So many left that this was a good natural experiment for estimating the causal effect of losing doctors on infant mortality (& thousands died)

26.02.2026 23:23 👍 109 🔁 46 💬 1 📌 3
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🧵on my new paper "Synthetic personas distort the structure of human belief systems" w Roberto Cerina I'm v excited about...

🚨 Do synthetic samples look like human samples?

We compare 28 LLMs to the 2024 General Social Survey (GSS) to find out + develop host of diagnostics...

25.02.2026 19:46 👍 166 🔁 78 💬 6 📌 19
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Interesting paper on effect of smart phone usage of traffic fatalities. They exploit major album release dates and a RDD design and find that traffic fatalities increase by 10 persons on the day of release of major albums. So, rock music IS dangerous! www.nber.org/papers/w34866

24.02.2026 12:35 👍 26 🔁 3 💬 2 📌 3

wow

18.02.2026 18:53 👍 1 🔁 2 💬 0 📌 0

🤔🤔🤔

11.02.2026 01:24 👍 0 🔁 0 💬 0 📌 0
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Opinion | The Trouble With MedPAC A federal advisory board tries to undermine Medicare Advantage.

Sure, WSJ. Shame on me for worrying about patient access to care and taxpayer spending over for profit companies. As long as the system works for the wealthy it must be fine with you. Enjoying the comments on the piece, though.

Trouble With MedPAC - WSJ share.google/M9VyVAt9V255...

11.02.2026 00:56 👍 43 🔁 6 💬 6 📌 3

what is with WSJ going in so hard for Medicare Advantage the past few days??

11.02.2026 00:58 👍 2 🔁 0 💬 1 📌 0