Travis Joesph
@travisjoseph.com
Writer, policy analyst, and advocate. I write at the intersection of policy, humanity, and power—breaking down the policies that empower us and the systems that fail us.
Also, I swear a lot.
Substack: blog.travisjoseph.com
#HIVsky #LGBTQ #PublicHealth
Also, I swear a lot.
Substack: blog.travisjoseph.com
#HIVsky #LGBTQ #PublicHealth
Trump deploying the National Guard in LA—something we haven’t seen since Selma. But in ‘65, troops protected civil rights marchers. History doesn’t repeat, it mutates. If you're still calling this “law and order,” you’ve missed the part where the Constitution was lit on fire.
#Resist
#Resist
June 11, 2025 at 2:44 PM
Trump deploying the National Guard in LA—something we haven’t seen since Selma. But in ‘65, troops protected civil rights marchers. History doesn’t repeat, it mutates. If you're still calling this “law and order,” you’ve missed the part where the Constitution was lit on fire.
#Resist
#Resist
My dad passed Tuesday. He was loud, loyal, flawed, and full of life. A provider. A hell of a dancer. He loved his family, the Saints, and the water.
We’re asking folks to donate to One Way Love in his honor: The Ernest Manint Memorial Fund.
🖤 tjoe.co/4y5ci9
We’re asking folks to donate to One Way Love in his honor: The Ernest Manint Memorial Fund.
🖤 tjoe.co/4y5ci9
Ernest Manint Memorial Fund | Supporting At-Risk Youth Through One Way Love
Honor the memory of Ernest Manint, beloved husband, father, and New Orleans native, through the Ernest Manint Memorial Fund. Supporting One Way Love's mission to help at-risk youth in St. Tammany Pari...
tjoe.co
June 5, 2025 at 8:14 PM
My dad passed Tuesday. He was loud, loyal, flawed, and full of life. A provider. A hell of a dancer. He loved his family, the Saints, and the water.
We’re asking folks to donate to One Way Love in his honor: The Ernest Manint Memorial Fund.
🖤 tjoe.co/4y5ci9
We’re asking folks to donate to One Way Love in his honor: The Ernest Manint Memorial Fund.
🖤 tjoe.co/4y5ci9
Spoke on PhRMA’s 2025 PRIDE panel with Evan Low & Tekla Taylor—grateful for the convo and the community.
I said: Policy is the tool. Advocacy is the pressure. Allyship is the commitment.
It’s not enough to care quietly—we have to show up, speak up, and push back.
#QueerVoices #LGBTQHealth
I said: Policy is the tool. Advocacy is the pressure. Allyship is the commitment.
It’s not enough to care quietly—we have to show up, speak up, and push back.
#QueerVoices #LGBTQHealth
June 5, 2025 at 1:29 AM
Spoke on PhRMA’s 2025 PRIDE panel with Evan Low & Tekla Taylor—grateful for the convo and the community.
I said: Policy is the tool. Advocacy is the pressure. Allyship is the commitment.
It’s not enough to care quietly—we have to show up, speak up, and push back.
#QueerVoices #LGBTQHealth
I said: Policy is the tool. Advocacy is the pressure. Allyship is the commitment.
It’s not enough to care quietly—we have to show up, speak up, and push back.
#QueerVoices #LGBTQHealth
My latest analysis for CANN
NEW ANALYSIS: CMS draft guidance creates a dangerous regulatory vacuum in 340B drug pricing. By refusing to mandate federal claims modifiers, CMS enables billions in duplicate discounts while threatening safety-net providers. Our take: buff.ly/dWpFGVD #340B #DrugPricing
CMS Creates Regulatory Vacuum in 340B Drug Pricing: Why Federal Claims Modifiers Are Essential
CMS's refusal to mandate claims modifiers for 340B transactions enables billions in duplicate discounts while threatening safety-net providers. CANN analyzes the policy failure and advocates for federal leadership to protect vulnerable patients.
buff.ly
June 3, 2025 at 11:39 PM
My latest analysis for CANN
RFK Jr’s budget would slash $33B from HHS, impose Medicaid work rules, and shut down critical agencies. It’s not about “waste”—it’s about gutting public health. Read why this matters now: tjoe.co/ont5p6 #HealthPolicy #Medicaid #HHSbudget #HealthcareCrisis
RFK Jr's Budget Testimony Reveals Concerning Vision for America's Healthcare Safety Net
RFK Jr's congressional testimony on the proposed 2026 HHS budget reveals a concerning vision for healthcare that could leave millions without coverage - here's what patient advocates need to know.
open.substack.com
May 26, 2025 at 3:04 PM
RFK Jr’s budget would slash $33B from HHS, impose Medicaid work rules, and shut down critical agencies. It’s not about “waste”—it’s about gutting public health. Read why this matters now: tjoe.co/ont5p6 #HealthPolicy #Medicaid #HHSbudget #HealthcareCrisis
This isn’t policy theory—it’s personal. I work with teens who are hungry, unhoused, and uninsured. These cuts will hurt them on purpose. If you claim to follow Jesus, maybe ask why your politics betray the people He told us to protect.
tjoe.co/o6wqa2
tjoe.co/o6wqa2
The Largest Upward Transfer of Wealth in American History
House Republicans voted to advance a bill that would offer lavish tax cuts for the rich while slashing benefits for the poor.
tjoe.co
May 24, 2025 at 12:49 AM
This isn’t policy theory—it’s personal. I work with teens who are hungry, unhoused, and uninsured. These cuts will hurt them on purpose. If you claim to follow Jesus, maybe ask why your politics betray the people He told us to protect.
tjoe.co/o6wqa2
tjoe.co/o6wqa2
New antibiotics for STIs are here—but so is the chaos. Public health labs are closing, resistance is rising, and vulnerable communities are on the frontlines. We’re sabotaging our own fight. Read my latest analysis: tjoe.co/gihjsg
#PublicHealth #STIsky #HealthPolicy #AntibioticResistance
#PublicHealth #STIsky #HealthPolicy #AntibioticResistance
Antibiotic Crisis: Hope Amid Institutional Decline
Antibiotic-resistant STIs are outpacing new treatments. But even our best breakthroughs can’t outrun political sabotage.
tjoe.co
May 19, 2025 at 4:06 PM
New antibiotics for STIs are here—but so is the chaos. Public health labs are closing, resistance is rising, and vulnerable communities are on the frontlines. We’re sabotaging our own fight. Read my latest analysis: tjoe.co/gihjsg
#PublicHealth #STIsky #HealthPolicy #AntibioticResistance
#PublicHealth #STIsky #HealthPolicy #AntibioticResistance
As a former brand marketer, all I can say is the leadership at WarnerMedia are idiots. But glad they realized that their most valuable brand asset really was their most valuable brand asset. Nice to see you again, Home Box Office.
May 14, 2025 at 10:50 PM
As a former brand marketer, all I can say is the leadership at WarnerMedia are idiots. But glad they realized that their most valuable brand asset really was their most valuable brand asset. Nice to see you again, Home Box Office.
Patients are paying more for life-saving meds, but manufacturers aren’t getting richer—middlemen are. My latest article breaks down how PBMs and hospital systems pocket the difference while patients suffer. #healthpolicy #pharmsky #medsky tjoe.co/wv2j1f
The High Cost of Middlemen Medicine
Why patients pay more while hospital systems and middlemen cash in on America’s broken drug market.
tjoe.co
May 12, 2025 at 7:37 PM
Patients are paying more for life-saving meds, but manufacturers aren’t getting richer—middlemen are. My latest article breaks down how PBMs and hospital systems pocket the difference while patients suffer. #healthpolicy #pharmsky #medsky tjoe.co/wv2j1f
New Tulane study shows PLWH in redlined areas face 15% longer delays in care—193 days vs. 164. The past is still prescribing outcomes.
The map may have changed, but the realities haven’t.
Read more: tjoe.co/ohot90
#HIVsky #PublicHealth #EpiSky #HealthPolicy
The map may have changed, but the realities haven’t.
Read more: tjoe.co/ohot90
#HIVsky #PublicHealth #EpiSky #HealthPolicy
Mapping Injustice: Redlining's Legacy in HIV Treatment Delays
As political attacks target health equity research, new evidence shows discrimination from the past continues to shape treatment outcomes today
tjoe.co
May 5, 2025 at 3:05 PM
New Tulane study shows PLWH in redlined areas face 15% longer delays in care—193 days vs. 164. The past is still prescribing outcomes.
The map may have changed, but the realities haven’t.
Read more: tjoe.co/ohot90
#HIVsky #PublicHealth #EpiSky #HealthPolicy
The map may have changed, but the realities haven’t.
Read more: tjoe.co/ohot90
#HIVsky #PublicHealth #EpiSky #HealthPolicy
It’s time to clean house. If you’re over 65, it’s time to retire from congress. If you’re too scared to lead in this moment, then sit the fuck down. Chuck, go write your books and get out of congress, you’re done. Bernie, go rally troops and retire, you’re useless in the senate.
May 2, 2025 at 2:56 PM
It’s time to clean house. If you’re over 65, it’s time to retire from congress. If you’re too scared to lead in this moment, then sit the fuck down. Chuck, go write your books and get out of congress, you’re done. Bernie, go rally troops and retire, you’re useless in the senate.
May 2, 2025 at 12:04 AM
Today is National Fentanyl Awareness Day. Naloxone is available over the counter and can reverse a fentanyl overdose. Learn where to get it and how to use it at fentanylawarenessday.org. #NFAD2025
National Fentanyl Awareness Day
A day of action to raise public awareness about an urgent problem: illegally made fentanyl. Join our effort.
fentanylawarenessday.org
April 29, 2025 at 1:04 PM
Today is National Fentanyl Awareness Day. Naloxone is available over the counter and can reverse a fentanyl overdose. Learn where to get it and how to use it at fentanylawarenessday.org. #NFAD2025
Also what’s the makeup budget in this administration? He’s painting his face like Trump.
April 28, 2025 at 4:50 PM
Also what’s the makeup budget in this administration? He’s painting his face like Trump.
Leaked HHS budget proposes gutting HIV prevention, mental health care, and public health infrastructure. A 33% slash that puts lives—and decades of progress—at risk.
Full breakdown: tjoe.co/ri2vcv
#HIVsky #PublicHealth #HealthPolicy #PoliSky
Full breakdown: tjoe.co/ri2vcv
#HIVsky #PublicHealth #HealthPolicy #PoliSky
April 28, 2025 at 2:03 PM
Leaked HHS budget proposes gutting HIV prevention, mental health care, and public health infrastructure. A 33% slash that puts lives—and decades of progress—at risk.
Full breakdown: tjoe.co/ri2vcv
#HIVsky #PublicHealth #HealthPolicy #PoliSky
Full breakdown: tjoe.co/ri2vcv
#HIVsky #PublicHealth #HealthPolicy #PoliSky
The Pitt is seriously the most intense tv show I’ve ever seen. Jesus. Really fantastic writing and acting. But damn.
April 26, 2025 at 3:25 AM
The Pitt is seriously the most intense tv show I’ve ever seen. Jesus. Really fantastic writing and acting. But damn.
Measles—the disease we fought so hard to eliminate—is making a comeback in the U.S. thanks to falling vaccination rates. We’re nearing the tipping point for endemic measles again. This didn’t have to happen.
#PublicHealth #VaccinesWork #IDSky #MedSky
www.reuters.com/business/hea...
#PublicHealth #VaccinesWork #IDSky #MedSky
www.reuters.com/business/hea...
US at tipping point for return of endemic measles
At current U.S. childhood vaccination rates, measles could return to spreading regularly at high levels, with an estimated 851,300 cases over the next 25 years, computer models used by the researchers suggest.
www.reuters.com
April 25, 2025 at 8:40 PM
Measles—the disease we fought so hard to eliminate—is making a comeback in the U.S. thanks to falling vaccination rates. We’re nearing the tipping point for endemic measles again. This didn’t have to happen.
#PublicHealth #VaccinesWork #IDSky #MedSky
www.reuters.com/business/hea...
#PublicHealth #VaccinesWork #IDSky #MedSky
www.reuters.com/business/hea...
Y’all need to stop 😭💀
April 23, 2025 at 5:12 AM
Y’all need to stop 😭💀
Trump - Penn
Vance - Yale
Cruz - Harvard
Hegseth - Harvard
RFK Jr - Harvard
Dr Oz - Harvard
Ratcliffe - Notre Dame
Stefanik - Harvard
We clearly need to re-evaluate the value and product of “elite” higher education institutions in this country.
Vance - Yale
Cruz - Harvard
Hegseth - Harvard
RFK Jr - Harvard
Dr Oz - Harvard
Ratcliffe - Notre Dame
Stefanik - Harvard
We clearly need to re-evaluate the value and product of “elite” higher education institutions in this country.
April 21, 2025 at 6:06 PM
Trump - Penn
Vance - Yale
Cruz - Harvard
Hegseth - Harvard
RFK Jr - Harvard
Dr Oz - Harvard
Ratcliffe - Notre Dame
Stefanik - Harvard
We clearly need to re-evaluate the value and product of “elite” higher education institutions in this country.
Vance - Yale
Cruz - Harvard
Hegseth - Harvard
RFK Jr - Harvard
Dr Oz - Harvard
Ratcliffe - Notre Dame
Stefanik - Harvard
We clearly need to re-evaluate the value and product of “elite” higher education institutions in this country.
The HIV data systems built to protect us are being gutted in real time—by design. This isn’t modernization. It’s demolition. Read why it matters before it’s too late. tjoe.co/b1ljh3 #HIV #PublicHealth #HealthPolicy #Privacy #HealthcareIT
System Failure: Inside the Collapse of HIV Data Protections
A sweeping purge of federal IT staff and unchecked data grabs are unraveling HIV privacy protections—threatening care, safety, and public trust.
tjoe.co
April 21, 2025 at 4:00 PM
The HIV data systems built to protect us are being gutted in real time—by design. This isn’t modernization. It’s demolition. Read why it matters before it’s too late. tjoe.co/b1ljh3 #HIV #PublicHealth #HealthPolicy #Privacy #HealthcareIT
1/7
Follow-up to last night’s thread on the @wsj.com op-ed:
It wasn’t just an isolated rant. It was the prelude.
Tonight, @nytimes.com reports the Trump admin nuked Covid.gov and replaced it with a full-blown propaganda site declaring “lab leak” the true origin of Covid.
#IDSky #PoliSky
Follow-up to last night’s thread on the @wsj.com op-ed:
It wasn’t just an isolated rant. It was the prelude.
Tonight, @nytimes.com reports the Trump admin nuked Covid.gov and replaced it with a full-blown propaganda site declaring “lab leak” the true origin of Covid.
#IDSky #PoliSky
Trump Declares Lab Leak as ‘True Origins’ of Covid on New Website
Government websites that once provided basic information about the virus now redirect to a page citing a number of misleading or heavily contested claims.
www.nytimes.com
April 19, 2025 at 2:20 AM
1/7
Follow-up to last night’s thread on the @wsj.com op-ed:
It wasn’t just an isolated rant. It was the prelude.
Tonight, @nytimes.com reports the Trump admin nuked Covid.gov and replaced it with a full-blown propaganda site declaring “lab leak” the true origin of Covid.
#IDSky #PoliSky
Follow-up to last night’s thread on the @wsj.com op-ed:
It wasn’t just an isolated rant. It was the prelude.
Tonight, @nytimes.com reports the Trump admin nuked Covid.gov and replaced it with a full-blown propaganda site declaring “lab leak” the true origin of Covid.
#IDSky #PoliSky
1/8
The @wsj.com just published a full-blown fascist fanfic. A lab-leak conspiracy rant that calls Fauci a criminal, praises Trump as savior, and suggests an international tribunal led by Pam Bondi. Yes, really.
#PoliSky #PublicHealth #MediaAccountability #ScienceNotStunts
The @wsj.com just published a full-blown fascist fanfic. A lab-leak conspiracy rant that calls Fauci a criminal, praises Trump as savior, and suggests an international tribunal led by Pam Bondi. Yes, really.
#PoliSky #PublicHealth #MediaAccountability #ScienceNotStunts
April 17, 2025 at 5:41 AM
1/8
The @wsj.com just published a full-blown fascist fanfic. A lab-leak conspiracy rant that calls Fauci a criminal, praises Trump as savior, and suggests an international tribunal led by Pam Bondi. Yes, really.
#PoliSky #PublicHealth #MediaAccountability #ScienceNotStunts
The @wsj.com just published a full-blown fascist fanfic. A lab-leak conspiracy rant that calls Fauci a criminal, praises Trump as savior, and suggests an international tribunal led by Pam Bondi. Yes, really.
#PoliSky #PublicHealth #MediaAccountability #ScienceNotStunts