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Ben Howell

@howellben

General Internist, Addiction Medicine specialist - faculty SEICHE Center for Health & Justice; Yale Program in Addiction Medicine, Yale School of Medicine. Fan of decarceration & harm reduction & New Haven https://medicine.yale.edu/profile/benjamin-howell/

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Latest posts by Ben Howell @howellben

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Removing race from kidney function algorithm helped more Black patients access transplants Removing race from the eGFR had a big impact, resulting in 5.3 more kidney transplants per 1000 Black candidates.

A long-used medical test underestimated the severity of kidney disease in Black patients. New study says with the bias removed, transplant rates are up. www.statnews.com/2026/03/10/k...

10.03.2026 15:27 πŸ‘ 40 πŸ” 18 πŸ’¬ 0 πŸ“Œ 3
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Medicaid Reviews May Disenroll Vulnerable Duals New research shows nearly one in seven low-income Medicare beneficiaries lost all Medicaid coverage for at least one month.

After Medicaid eligibility reviews resumed post-COVID, nearly 1 in 7 #DualEligibles lost Medicaid coverage for at least 1 month.

Fewer than one-third re-enrolled within six months. Read more: https://ldi.upenn.edu/our-work/research-updates/medicaid-reviews-may-disenroll-vulnerable-dual-eligibles/

09.03.2026 19:48 πŸ‘ 0 πŸ” 3 πŸ’¬ 1 πŸ“Œ 2
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Hi all! Tomorrow is the Gov. Oversight Committee Public Hearing.
Numbers 5 & 8 on the agenda
www.cga.ct.gov/2026/GOSdata...

To testify in person or via zoom tomorrow, you need to register by *3pm today! *
zoom.us/webinar/regi...

09.03.2026 13:51 πŸ‘ 0 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
Graph titled the most vulnerable people in prison often do not receive the medical care they need. 42% of people in severe psychological distress while incarcerated have not had mental health treatment.

Graph titled the most vulnerable people in prison often do not receive the medical care they need. 42% of people in severe psychological distress while incarcerated have not had mental health treatment.

Prison is a dangerous place. Its horrific conditions can be triggering for anyone. Yet more than 40% of people behind bars in severe psychological distress have not had mental health treatment

The carceral system is no place for people who need health care

07.03.2026 14:15 πŸ‘ 22 πŸ” 8 πŸ’¬ 0 πŸ“Œ 1

Over this time period, the administration’s new tariffs will increase taxes on New Haven’s 140,000 residents by >$900 million, and the β€œBig Beautiful Bill” will cut taxes for the wealthiest 25% of CT residents by $24 billion ($3.4B/yr), while eliminating healthcare and SNAP for >15% of New Haveners

06.03.2026 17:24 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

The decline in skilled nursing facility/rehab beds is a huge problem for US hospitals, contributing to longer stays and operating losses. It’s probably going to get worse as deportations ramp up and private equity runs more rehabs into the ground

06.03.2026 12:13 πŸ‘ 10 πŸ” 3 πŸ’¬ 1 πŸ“Œ 1
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Pause Urged On Union Station Rezoning - New Haven Independent A rendering of what a denser development (at left) could look like on the current "east lot" next to Union Station. A Union Station rezoning proposal got a thumbs down -- for now -- from City Plan com...

Though not sure the status of those projects - www.newhavenindependent.org/2024/01/02/c...

06.03.2026 19:26 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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City Plan Passes On Union Square Vote, For Now - New Haven Independent The City Plan Commission deferred Thursday on taking a key vote for the "transformational" Union Square development, as the Board of Alders has yet to approve a necessary zoning amendment for the proj...

Housing Authority focused on that plot - www.newhavenindependent.org/2026/03/06/c...

Parking Authority(Doug H) working on other developments near train station (north along union)

06.03.2026 19:24 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

The job market is weakening as work requirements are poised to go into effect for Medicaid and ACA premium assistance is decreasing.

06.03.2026 14:50 πŸ‘ 16 πŸ” 13 πŸ’¬ 1 πŸ“Œ 2
Yale and New Haven announce new commitment and plan to support city finances, advance shared goals Yale and the City of New Haven unveiled a new commitment and plan that support the city’s finances and jointly advance new and enduring goals.

Yale will make voluntary payments to New Haven totaling >$230 million through fiscal year 2033, by far the largest contribution of any US university to its host city. A 2021 plan had provided >$135 million over a similar period.

news.yale.edu/2026/03/06/y...

06.03.2026 16:26 πŸ‘ 23 πŸ” 10 πŸ’¬ 1 πŸ“Œ 8

I have been a bike commuter in the past but currently have to rely on a car & cross state st during my morning. Getting across downtown right now is really a hassle.

06.03.2026 03:18 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I’m pro this project and know the disruption is temporary but currently it is a mess. Esp getting from east to west side of towns across state st right now at either Grove or Chapel via car. It’s a better look to acknowledge that (Elicker & Zinn do here) than the pithy β€œcar drivers are annoying”

06.03.2026 03:14 πŸ‘ 1 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0
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Delays in awards and funding calls worry NIH-funded researchers Many programs may be pushed into the next fiscal year, and some could face funding gaps

NIH funding is back in limbo, and it’s a mess. Between a 90% drop in new funding notices and White House spending blocks, only about 800 new awards have been made, less than a third of the usual rate.
If these "spend plans" don't clear soon, we’re looking at a major gap in biomedical research.

04.03.2026 16:48 πŸ‘ 8 πŸ” 10 πŸ’¬ 0 πŸ“Œ 2

It is so damning of US news media that so many outlets refuse to just straight up say that Senator Tim Sheehy assaulted an activist.

He did not "help" Capitol police. They did not need his help. He wanted to assault the guy and did. He should resign.

05.03.2026 03:28 πŸ‘ 20123 πŸ” 5699 πŸ’¬ 512 πŸ“Œ 220

Good to see - budgets reflect values and priorities. If hospitals want to increase care for OUD in inpatient settings they have to provide resources (time, $$, staffing) to make it happen.

04.03.2026 16:45 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Integrating Tobacco Treatment in HIV Care Yale School of Medicine's E. Jennifer Edelman, MD, MHS, tested an adaptive, team-based strategy to better integrate tobacco treatment into HIV clinics.

A new study from E. Jen Edelman et al tested an adaptive, team-based strategy to better integrate tobacco treatment into HIV clinics. Says Edelman, smoking must become a higher priority in HIV care + novel strategies can help patients live longer, healthier lives. medicine.yale.edu/internal-med...

03.03.2026 19:21 πŸ‘ 3 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0

Scouting is a place where youth should be allowed to be themselves and not face discrimination.

27.02.2026 22:06 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Man, as an Eagle Scout, I wanted Scouting to hold the line, but alas, they bent the knee to Hegseth here re: discriminating against youth who want to be part of scouting and may identify as trans. Disappointing.

27.02.2026 22:06 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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As Federal Prisons Run Low on Food and Toilet Paper, Corrections Officers Leave in Droves for ICE Many of the problems the agency is facing now are not new, but staff and prisoners fear an exodus of officers could make life behind bars even worse.

Citing my reporting for @propublica.org, 4 House Dems have formally asked the head of the federal prison system to explain how the agency will fix severe staffing shortages affecting safety and operations.

My latest:

www.propublica.org/article/ice-...

26.02.2026 20:08 πŸ‘ 129 πŸ” 58 πŸ’¬ 6 πŸ“Œ 5

"One way we as a nation have managed to 'reduce homelessness' is by defining entire segments of the homeless population out of existence."

I spoke with the Miami Herald about There Is No Place for Us β€” and about the staggering number of homeless families and individuals who literally don't count.

27.02.2026 15:43 πŸ‘ 154 πŸ” 60 πŸ’¬ 5 πŸ“Œ 2
Map showing Washington Heights and East Harlem with highlighted areas: Washington Heights BID and 125th Street BID in red, 5-min walking buffer in orange, and 10-min walking buffer in blue, with OnPoint Washington Heights and OnPoint East Harlem.

Map showing Washington Heights and East Harlem with highlighted areas: Washington Heights BID and 125th Street BID in red, 5-min walking buffer in orange, and 10-min walking buffer in blue, with OnPoint Washington Heights and OnPoint East Harlem.

Opening of overdose prevention centers in New York City was not associated with significant changes in neighborhood foot traffic or consumer spending, suggesting no observed economic harms near these #HarmReduction sites.

ja.ma/403HXgS

27.02.2026 16:45 πŸ‘ 70 πŸ” 25 πŸ’¬ 0 πŸ“Œ 3

This is making me so frustrated I might run for office purely on a β€œshovel the damn sidewalks” platform

27.02.2026 16:36 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Opinion: Shovel the path to CT's civic front door Since this winter's snowstorms, key pedestrian routes –- including the stretch connecting Frog Hollow to downtown -– have remained unshoveled for weeks.

THIS! The State and Cities of CT have not pulled their weight in clearing pedestrian routes (& bus stops!) this winter. We dont need volunteerism and β€œshovel teams” we need to gov’t to do its job. #NewHaven. ctmirror.org/2026/02/27/s...

27.02.2026 16:31 πŸ‘ 2 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0
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Opinion: Shovel the path to CT's civic front door Since this winter's snowstorms, key pedestrian routes –- including the stretch connecting Frog Hollow to downtown -– have remained unshoveled for weeks.

"a city cannot run on neighborliness alone"

ctmirror.org/2026/02/27/s...

27.02.2026 11:12 πŸ‘ 6 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0
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CT lawmakers to repeal 2024 single-stair building code change The General Assembly is expected to pass Senate Bill 298, a lengthy omnibus bill that includes a repeal of the 2024 single-stair exit law.

Ugh

ctmirror.org/2026/02/25/c...

26.02.2026 16:06 πŸ‘ 5 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
Chart showing that the term "Halfway House" can refer to facilities that differ in function, purpose, and level of carcerality. This includes sober living homes, restitution centers, residential correctional facilities, and more.

Chart showing that the term "Halfway House" can refer to facilities that differ in function, purpose, and level of carcerality. This includes sober living homes, restitution centers, residential correctional facilities, and more.

Thousands stay in halfway houses daily, yet there are TONS we don’t know about these facilities.

Why? Lack of transparency, privatization, poor data collection…the list goes on.

Halfway houses are an extension of the carceral experience and should be under the same scrutiny.

26.02.2026 20:15 πŸ‘ 11 πŸ” 7 πŸ’¬ 0 πŸ“Œ 0

Frustrating quote from this Republican rep - the upside? We build more housing in a state that desperately needs housing. That’s a good idea because w modern buildings single stairs are safe.

26.02.2026 17:39 πŸ‘ 14 πŸ” 4 πŸ’¬ 0 πŸ“Œ 0
Asylum Avenue sidewalk obstructed by snow. Street plowed for cars.

Asylum Avenue sidewalk obstructed by snow. Street plowed for cars.

City of Hartford has not removed snow from sidewalks, and by snow, I mean that which fell during storm that ended on Monday. This is across from a school.

25.02.2026 15:49 πŸ‘ 16 πŸ” 4 πŸ’¬ 2 πŸ“Œ 0

Out of my own ignorance - what's driving the fire marshalls to have such strong opposition & not engage with good faith discussions/evidence? Are they being pushed by other interests or is really just "change is bad" for fire fighters?

26.02.2026 14:41 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Kansas Sends Letters To Trans People Demanding The Immediate Surrender Of Drivers Licenses "The legislature did not include a grace period."

This is bigotry, pure and simple.

open.substack.com/pub/erininth...

26.02.2026 01:22 πŸ‘ 3950 πŸ” 1164 πŸ’¬ 145 πŸ“Œ 147