Richard M. Carpiano, PhD, MPH
@rmcarpiano.medsky.social
13K followers 5.4K following 5.3K posts

Professor, University of California, Riverside School of Public Policy. Faculty Director, Science to Policy (S2P). Public health scientist & sociologist keen on population health & community issues. Sometimes in the news, often for troubling topics. 🇺🇸 🇨🇦 .. more

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Medicine 20%
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rmcarpiano.medsky.social
Welcome new followers! About me beyond my profile: I post on a range of public health, sociological, & policy topics in my expertise areas (e.g., vaccinations, misinformation, health disparities) & other stuff I find important, intriguing, or fun/funny. Journalists: happy to chat (part of my job).

rmcarpiano.medsky.social
My thought: don't focus just on these two. Think of all politicians nationwide (state, federal, local) who gin up vaccine skepticism or refuse to promote vaccination to get votes/win supporters but who we know are/are likely vaxxed (same for their families).

rmcarpiano.medsky.social
💯 And with lots of public health ads.

rmcarpiano.medsky.social
I've still yet to see it. I feel like I'm the only person with a public health degree who hasn't. Never got to it pre-pandemic. Then during the pandemic, I was often asked if I had seen it and I felt like watching it then amidst all the world was facing was excessive.

rmcarpiano.medsky.social
So... Role Model... People consider him good, huh?
bklyngrrl.bsky.social
Role Model is so generic and derivative i thought he was AI #snl

chibdm.bsky.social
Is this Role Model band/person supposed to be this generation's version of Train? #SNL
matthewharper.bsky.social
I have no damn idea who Role Model is, but this is the first time I've ever wished an artist WAS lip syncing on SNL.

rmcarpiano.medsky.social
Given recent CDC news, now might not be a bad time for cable and streaming to start airing movies/docs on infectious disease outbreaks to help the US public appreciate how much more at risk they are. Of course, as I've long said, a public health PR campaign is overdue.

rmcarpiano.medsky.social
How's this for further validating your point? I clicked on the link to that news story and it was preceded by a YT ad claiming if you need to wipe your backside more than 4 times, you have some bowel problem putting you at risk for "skid marks" and you need to take some magnesium supplement. 🤦
a man wearing glasses and a suit says what did i just see
ALT: a man wearing glasses and a suit says what did i just see
media.tenor.com

rmcarpiano.medsky.social
California but anywhere else, so Cincinnati too, as I am sure they have some sort of arrangements with certain publishers too.

rmcarpiano.medsky.social
(cont'd) As further clarification on the OP, don't just focus on how they define the word "ban." Also consider their undefined use of the word "government" as some ambiguous lawmaking entity, but which seems to not include local school boards, the focus of so much of their org's efforts.

rmcarpiano.medsky.social
Today's lesson in logic fallacies via Moms for Liberty: ambiguity fallacy in defining book bans vis-a-vis what they as an org strive to do--using a double meaning or imprecise/ambiguous language to mislead in making a claim...

(Also perhaps "special pleading/moving the goalposts" fallacies too)...
From article linked in post "Moms For Liberty: A banned book means the government has restricted or forbidden the book to be published or sold. Cultivating a public school library with age-appropriate, high-quality books that support learning and development is what responsible adults do for children."

rmcarpiano.medsky.social
Tells you how bad a paper was if it got that heavily critiqued in an internal review & never edited to be ok'd to send to a peer reviewed journal.

"Henry Ford Health was unaware this rejected & unvalidated draft...had... been shared...there’s reason to believe it’s been altered..."
www.henryford.com
markhisted.org
Seeing a lot of celebration of this as a win.

But at NIH we have seen this exact play before.

It looks like it is the Vought strategy -and to stop the lawless firings we have to see the bigger picture.
A 🧵:
Trump Administration Will Rehire Scores of Experts Fired in Error
www.nytimes.com

rmcarpiano.medsky.social
UC & maybe other researchers: if your campus has a deal w/ a publisher for Open Access fees, be sure to read fine print & doublecheck w/your campus person who handles it. Docs online may be contrary, not updated, etc. & cost coverage can vary by title (e.g., hybrid vs. full OA) for same publisher.

rmcarpiano.medsky.social
2/2 For publishers, there are journals where US papers=big % of submissions. OA fees nice revenue for publishers & vital for 100% OA forums. If US univ's don't have a deal to cover the OA cost for a title, could be big for the title. Plus ppl won't submit to full OA forum if no funding for the fee.

rmcarpiano.medsky.social
Funding cut issue to consider: how this might impact US research wrt publishing open access (OA) work & even selecting forums to send work (fully OA forums are pricey). Universities make deals w/publishers but may only cover a % of fee.

My own ~$3300 OA bill this week made me think of this. 1/
angierasmussen.bsky.social
For more information about the Friday night massacre at CDC, I wrote up an analysis of who got terminated and what that means for public health.

Grateful to @saveamericamvmt.bsky.social for supporting and amplifying. We are in really terrible trouble.

rasmussenretorts.substack.com/p/the-death-...

rmcarpiano.medsky.social
Significance of those cross-state alliances on East and West Coasts is getting amped.
elizabethjacobs.bsky.social
Trump got his COVID19 vaccine today.

He will always have access to everything he needs to maintain his health while denying others the same.
White House memo that says MEMORANDUM
October 10, 2025
TO: KAROLINE LEAVITT, WHITE HOUSE PRESS SECRETARY
PHYSICIAN TO THE PRESIDENT CAPTAIN, U.S. NAVY
SUBJECT: President Donald J. Trump Completes Comprehensive Follow-Up Evaluation at
Walter Reed National Military Medical Center
FOR IMMEDIATE RELEASE
President Donald J. Trump successfully completed a scheduled follow-up evaluation today at Walter Reed National Military Medical Center. The visit was part of his ongoing health maintenance plan and included advanced imaging, laboratory testing, and preventive health assessments conducted by a multidisciplinary team of specialists. These evaluations were performed in coordination with leading academic and medical consultants to ensure optimal cardiovascular health and continued wellness.
Comprehensive laboratory studies performed in conjunction with the visit were exceptional, including stable metabolic, hematologic, and cardiac parameters.
In preparation for upcoming international travel, President Trump also received preventive health screenings and immunizations, including annual influenza and updated COVID-19 booster vaccinations.
President Trump continues to demonstrate excellent overall health. His cardiac age-a validated measure of cardiovascular vitality via ECG-was found to be approximately 14 years younger than his chronological age. He continues to maintain a demanding daily schedule without restriction.
SUMMARY: President Donald J. Trump remains in exceptional health, exhibiting strong cardiovascular, pulmonary, neurological, and physical performance.

rmcarpiano.medsky.social
🛟
angierasmussen.bsky.social
I don’t know who needs to hear this but the CDC is being eviscerated right now. America is not going to have any kind of outbreak response capacity after tonight. Americans’ health data is no longer secure. Say goodbye to federal public health in any capacity. It’s a disaster. We won’t recover.

rmcarpiano.medsky.social
Reminder: Security from infectious diseases is an important element of national security.
lorak.bsky.social
and the contagions don’t give a crap about borders and tariffs
angierasmussen.bsky.social
I don’t know who needs to hear this but the CDC is being eviscerated right now. America is not going to have any kind of outbreak response capacity after tonight. Americans’ health data is no longer secure. Say goodbye to federal public health in any capacity. It’s a disaster. We won’t recover.