Adam Gaffney
@awgaffney.bsky.social
Pulmonary & ICU doctor, assistant professor at Harvard Medical School, past president PNHP, author "To Heal Humankind", dabbler, tweets my own.
Webpage: https://dradamgaffney.com/
Google scholar: https://scholar.google.com/citations?user=KChlDTsAAAAJ&hl
Webpage: https://dradamgaffney.com/
Google scholar: https://scholar.google.com/citations?user=KChlDTsAAAAJ&hl
Our article in Health Affairs Forefront on the “real waste, fraud, and abuse” in healthcare — Medicare and Medicaid privatization — is now up.
MA Overpayments & excess Medicaid managed care overhead could cost as much as $1.9 trillion in coming decade.
www.healthaffairs.org/do/10.1377/f...
MA Overpayments & excess Medicaid managed care overhead could cost as much as $1.9 trillion in coming decade.
www.healthaffairs.org/do/10.1377/f...
November 7, 2025 at 1:25 PM
Our article in Health Affairs Forefront on the “real waste, fraud, and abuse” in healthcare — Medicare and Medicaid privatization — is now up.
MA Overpayments & excess Medicaid managed care overhead could cost as much as $1.9 trillion in coming decade.
www.healthaffairs.org/do/10.1377/f...
MA Overpayments & excess Medicaid managed care overhead could cost as much as $1.9 trillion in coming decade.
www.healthaffairs.org/do/10.1377/f...
I feel like this fake big animal sightings are too common!
November 6, 2025 at 5:18 AM
I feel like this fake big animal sightings are too common!
Reposted by Adam Gaffney
🗞️Hot off the press in @atsblueeditor.bsky.social!
Our analysis shows that unfavourable social and environmental exposures
explain a much larger share of racial disparities in lung function than previously thought.
Details: doi.org/10.1164/rccm...
@msafavi.bsky.social @awgaffney.bsky.social
Our analysis shows that unfavourable social and environmental exposures
explain a much larger share of racial disparities in lung function than previously thought.
Details: doi.org/10.1164/rccm...
@msafavi.bsky.social @awgaffney.bsky.social
Social Determinants of Health and Racial Disparities in Lung Function: Findings from the National Health and Nutrition Examination Survey, 2007–2012 | American Journal of Respiratory and Critical Care...
doi.org
November 1, 2025 at 7:52 PM
🗞️Hot off the press in @atsblueeditor.bsky.social!
Our analysis shows that unfavourable social and environmental exposures
explain a much larger share of racial disparities in lung function than previously thought.
Details: doi.org/10.1164/rccm...
@msafavi.bsky.social @awgaffney.bsky.social
Our analysis shows that unfavourable social and environmental exposures
explain a much larger share of racial disparities in lung function than previously thought.
Details: doi.org/10.1164/rccm...
@msafavi.bsky.social @awgaffney.bsky.social
Another great PNHP annual national conference !
@awgaffney.bsky.social starting with our 2025 data update!
November 4, 2025 at 11:28 PM
Another great PNHP annual national conference !
It's not clear to me how to respond to this endless stream of unrepentant, shameless lying from unrepentant, shameless liars like this. To be clear: I believe in taking care of everyone no matter where they're from, so I'm not so interested in these distinctions. But for those...
October 30, 2025 at 4:27 AM
It's not clear to me how to respond to this endless stream of unrepentant, shameless lying from unrepentant, shameless liars like this. To be clear: I believe in taking care of everyone no matter where they're from, so I'm not so interested in these distinctions. But for those...
Easy to feel despondent now, but it’s important to remember that there is a real possibility that the Trumpian political project crashes & burns, anyone remotely associated with it is permanently discredited politically & morally, & a window opens for substantive positive change.
October 30, 2025 at 1:43 AM
Easy to feel despondent now, but it’s important to remember that there is a real possibility that the Trumpian political project crashes & burns, anyone remotely associated with it is permanently discredited politically & morally, & a window opens for substantive positive change.
"Unless you are extraordinarily rich, it is effectively not possible to save enough money to cover the costs of a serious illness or major trauma,” Gaffney said. “For the uninsured, medical debt and bankruptcy is just one major illness or injury away.”
www.nbcnews.com/health/healt...
www.nbcnews.com/health/healt...
‘It’s only gotten worse’: As ACA premiums are set to climb, some Americans opt to go uninsured
Enhanced subsidies for Obamacare have kept premiums affordable. Absent action from Congress, they will expire at the end of the year.
www.nbcnews.com
October 28, 2025 at 11:10 PM
"Unless you are extraordinarily rich, it is effectively not possible to save enough money to cover the costs of a serious illness or major trauma,” Gaffney said. “For the uninsured, medical debt and bankruptcy is just one major illness or injury away.”
www.nbcnews.com/health/healt...
www.nbcnews.com/health/healt...
So an anonymous billionaire Trump ally is dispersing $130 million in personal cash to US troops.
Truly crossing new rubicons weekly
www.nytimes.com/live/2025/10...
Truly crossing new rubicons weekly
www.nytimes.com/live/2025/10...
October 25, 2025 at 2:12 AM
So an anonymous billionaire Trump ally is dispersing $130 million in personal cash to US troops.
Truly crossing new rubicons weekly
www.nytimes.com/live/2025/10...
Truly crossing new rubicons weekly
www.nytimes.com/live/2025/10...
Reposted by Adam Gaffney
Excellent thread
In wake of the CDC shooting, so-called "post-vaccination syndrome" has come back into discussion, as this report from
@nbcnews.com describes. The assailant attributed health issues including depression to COVID-19 vaccines.
I'm quoted, & wrote about the...
www.nbcnews.com/tech/interne...
@nbcnews.com describes. The assailant attributed health issues including depression to COVID-19 vaccines.
I'm quoted, & wrote about the...
www.nbcnews.com/tech/interne...
Anti-vaccine myths surged on social media ahead of the CDC shooting
Before the shooting, social media companies relaxed their protocols around misinformation.
www.nbcnews.com
August 15, 2025 at 4:20 PM
Excellent thread
Reposted by Adam Gaffney
In wake of the CDC shooting, so-called "post-vaccination syndrome" has come back into discussion, as this report from
@nbcnews.com describes. The assailant attributed health issues including depression to COVID-19 vaccines.
I'm quoted, & wrote about the...
www.nbcnews.com/tech/interne...
@nbcnews.com describes. The assailant attributed health issues including depression to COVID-19 vaccines.
I'm quoted, & wrote about the...
www.nbcnews.com/tech/interne...
Anti-vaccine myths surged on social media ahead of the CDC shooting
Before the shooting, social media companies relaxed their protocols around misinformation.
www.nbcnews.com
August 15, 2025 at 12:04 PM
In wake of the CDC shooting, so-called "post-vaccination syndrome" has come back into discussion, as this report from
@nbcnews.com describes. The assailant attributed health issues including depression to COVID-19 vaccines.
I'm quoted, & wrote about the...
www.nbcnews.com/tech/interne...
@nbcnews.com describes. The assailant attributed health issues including depression to COVID-19 vaccines.
I'm quoted, & wrote about the...
www.nbcnews.com/tech/interne...
In wake of the CDC shooting, so-called "post-vaccination syndrome" has come back into discussion, as this report from
@nbcnews.com describes. The assailant attributed health issues including depression to COVID-19 vaccines.
I'm quoted, & wrote about the...
www.nbcnews.com/tech/interne...
@nbcnews.com describes. The assailant attributed health issues including depression to COVID-19 vaccines.
I'm quoted, & wrote about the...
www.nbcnews.com/tech/interne...
Anti-vaccine myths surged on social media ahead of the CDC shooting
Before the shooting, social media companies relaxed their protocols around misinformation.
www.nbcnews.com
August 15, 2025 at 12:04 PM
In wake of the CDC shooting, so-called "post-vaccination syndrome" has come back into discussion, as this report from
@nbcnews.com describes. The assailant attributed health issues including depression to COVID-19 vaccines.
I'm quoted, & wrote about the...
www.nbcnews.com/tech/interne...
@nbcnews.com describes. The assailant attributed health issues including depression to COVID-19 vaccines.
I'm quoted, & wrote about the...
www.nbcnews.com/tech/interne...
A quick short post on Thursday's Senate HELP hearings on healthcare affordability:
open.substack.com/pub/healthcl...
open.substack.com/pub/healthcl...
Senate HELP Committee Hearings: Healthcare Affordability, the "Big Beautiful Bill", and Medicare for All
Last Thursday I had the opportunity to present at the Senate HELP Committee at a hearing entitled "Making Health Care Affordable: Solutions to Lower Costs and Empower Patients." Chairman Sen.
open.substack.com
August 3, 2025 at 2:00 PM
A quick short post on Thursday's Senate HELP hearings on healthcare affordability:
open.substack.com/pub/healthcl...
open.substack.com/pub/healthcl...
The AP has a story on the impact of Medicaid cuts for patients and our study quantifying those effects nationally — the accompanying video is powerful as it presents the story of a patient with cancer worried about falling between the cracks.
apnews.com/article/medi...
apnews.com/article/medi...
Debt and delayed care forecast for some who lose insurance under tax and spending law
Delayed treatments, canceled doctor visits and skipped prescriptions: Researchers say all will increase because of the tax and spending bill signed into law by President Donald Trump earlier this…
apnews.com
August 1, 2025 at 3:09 PM
The AP has a story on the impact of Medicaid cuts for patients and our study quantifying those effects nationally — the accompanying video is powerful as it presents the story of a patient with cancer worried about falling between the cracks.
apnews.com/article/medi...
apnews.com/article/medi...
I testified today for the Senate HELP Committee on issue of healthcare affordability.
The “Big Beautiful Bill” will worsen the crisis of healthcare affordability — and cause thousands of deaths.
Medicare-for-All will deliver full coverage for everyone, at an affordable price for the nation.
Link:
The “Big Beautiful Bill” will worsen the crisis of healthcare affordability — and cause thousands of deaths.
Medicare-for-All will deliver full coverage for everyone, at an affordable price for the nation.
Link:
ISVP
www.senate.gov
August 1, 2025 at 1:19 AM
I testified today for the Senate HELP Committee on issue of healthcare affordability.
The “Big Beautiful Bill” will worsen the crisis of healthcare affordability — and cause thousands of deaths.
Medicare-for-All will deliver full coverage for everyone, at an affordable price for the nation.
Link:
The “Big Beautiful Bill” will worsen the crisis of healthcare affordability — and cause thousands of deaths.
Medicare-for-All will deliver full coverage for everyone, at an affordable price for the nation.
Link:
Let’s not move on from the “Big Beautiful Bill” so quickly? The law will shred the US healthcare safety net. The deaths it causes may seem invisible — medical neglect causes heart attacks, kidney failure, strokes — that will register as “natural,” but will be something more.
August 1, 2025 at 12:28 AM
Let’s not move on from the “Big Beautiful Bill” so quickly? The law will shred the US healthcare safety net. The deaths it causes may seem invisible — medical neglect causes heart attacks, kidney failure, strokes — that will register as “natural,” but will be something more.
Reposted by Adam Gaffney
fresh audio product:
• Adam Gaffney @awgaffney.bsky.social on Trump & Co.’s cuts to health care and research
• Alan Beattie @alanbeattie.bsky.social tries to make sense of Trump’s nonsensical trade policy
www.leftbusinessobserver.com/Radio.html#S...
• Adam Gaffney @awgaffney.bsky.social on Trump & Co.’s cuts to health care and research
• Alan Beattie @alanbeattie.bsky.social tries to make sense of Trump’s nonsensical trade policy
www.leftbusinessobserver.com/Radio.html#S...
July 17, 2025 at 8:34 PM
fresh audio product:
• Adam Gaffney @awgaffney.bsky.social on Trump & Co.’s cuts to health care and research
• Alan Beattie @alanbeattie.bsky.social tries to make sense of Trump’s nonsensical trade policy
www.leftbusinessobserver.com/Radio.html#S...
• Adam Gaffney @awgaffney.bsky.social on Trump & Co.’s cuts to health care and research
• Alan Beattie @alanbeattie.bsky.social tries to make sense of Trump’s nonsensical trade policy
www.leftbusinessobserver.com/Radio.html#S...
Reposted by Adam Gaffney
Adam Gaffney (@awgaffney.bsky.social), David U. Himmelstein, and Steffie Woolhandler on Trump’s destruction of America’s health care system
buff.ly/u2EyUzj
buff.ly/u2EyUzj
The Dismantling of American Health Care | Adam Gaffney, David U. Himmelstein, Steffie Woolhandler
On July 4 President Donald Trump signed into law a piece of legislation that amounts to a declaration of war on the working-class and the sick. The “One
www.nybooks.com
July 8, 2025 at 7:37 PM
Adam Gaffney (@awgaffney.bsky.social), David U. Himmelstein, and Steffie Woolhandler on Trump’s destruction of America’s health care system
buff.ly/u2EyUzj
buff.ly/u2EyUzj
Reposted by Adam Gaffney
May this heartbreaking moment prompt us to come together around a vision of a health care system better for patients, providers, & public health
Single payer is more effective, equitable, & efficient
Thanks
@abdulelsayed.bsky.social @awgaffney.bsky.social @nationalnurses.bsky.social & more for ⬇️
Single payer is more effective, equitable, & efficient
Thanks
@abdulelsayed.bsky.social @awgaffney.bsky.social @nationalnurses.bsky.social & more for ⬇️
Medicare for All: Protecting Health, Saving Lives, Saving Money | U.S. Senate Committee On The Budget
The Official U.S. Senate Committee On The Budget
www.budget.senate.gov
July 5, 2025 at 5:24 PM
May this heartbreaking moment prompt us to come together around a vision of a health care system better for patients, providers, & public health
Single payer is more effective, equitable, & efficient
Thanks
@abdulelsayed.bsky.social @awgaffney.bsky.social @nationalnurses.bsky.social & more for ⬇️
Single payer is more effective, equitable, & efficient
Thanks
@abdulelsayed.bsky.social @awgaffney.bsky.social @nationalnurses.bsky.social & more for ⬇️
The reconciliation bill barreling forward in Congress towards Trump’s desk will inflict thousands of medically-preventable deaths annually to pay for tax cuts for the wealthy. This is a horrifying assault on the health, medical care, and lives of our lower-income patients.
June 29, 2025 at 4:36 AM
The reconciliation bill barreling forward in Congress towards Trump’s desk will inflict thousands of medically-preventable deaths annually to pay for tax cuts for the wealthy. This is a horrifying assault on the health, medical care, and lives of our lower-income patients.
Reposted by Adam Gaffney
"Consider the mortality impacts of this legislation, which would save money mostly for the purpose of tax cuts for the wealthy." -- @awgaffney.bsky.social, of Cambridge Health Alliance, on estimated preventable deaths from #Medicaid cuts.
www.medpagetoday.com/publichealth...
www.medpagetoday.com/publichealth...
Proposed Medicaid Cuts Would Result in Thousands of Preventable Deaths, Study Finds
Study also shows 1.3 million would forego their medications after losing coverage
www.medpagetoday.com
June 23, 2025 at 1:43 PM
"Consider the mortality impacts of this legislation, which would save money mostly for the purpose of tax cuts for the wealthy." -- @awgaffney.bsky.social, of Cambridge Health Alliance, on estimated preventable deaths from #Medicaid cuts.
www.medpagetoday.com/publichealth...
www.medpagetoday.com/publichealth...
Reposted by Adam Gaffney
Our study examining health impacts — including deaths — from Medicaid cuts was just published in the Annals of Internal Medicine
Overall, the Big, Beautiful Bill Act could lead to more than 16,500 medically-preventable deaths due to these cuts
🧵
www.acpjournals.org/doi/10.7326/...
Overall, the Big, Beautiful Bill Act could lead to more than 16,500 medically-preventable deaths due to these cuts
🧵
www.acpjournals.org/doi/10.7326/...
Projected Effects of Proposed Cuts in Federal Medicaid Expenditures on Medicaid Enrollment, Uninsurance, Health Care, and Health | Annals of Internal Medicine
In January 2025, the Republican majority in the House of Representatives’ Budget Committee offered a list of possible spending reductions to offset revenue losses from proposed tax cuts. In May, the C...
www.acpjournals.org
June 16, 2025 at 10:58 PM
Our study examining health impacts — including deaths — from Medicaid cuts was just published in the Annals of Internal Medicine
Overall, the Big, Beautiful Bill Act could lead to more than 16,500 medically-preventable deaths due to these cuts
🧵
www.acpjournals.org/doi/10.7326/...
Overall, the Big, Beautiful Bill Act could lead to more than 16,500 medically-preventable deaths due to these cuts
🧵
www.acpjournals.org/doi/10.7326/...
Reposted by Adam Gaffney
The Medicaid cuts in Trump's budget bill are projected to cause more than 16,500 premature deaths ANNUALLY.
Over 1.9 MILLION people could lose access to a physician.
Over 1.3 MILLION people could go without needed medications.
Americans will die for billionaires to thrive.
Over 1.9 MILLION people could lose access to a physician.
Over 1.3 MILLION people could go without needed medications.
Americans will die for billionaires to thrive.
June 17, 2025 at 9:28 PM
The Medicaid cuts in Trump's budget bill are projected to cause more than 16,500 premature deaths ANNUALLY.
Over 1.9 MILLION people could lose access to a physician.
Over 1.3 MILLION people could go without needed medications.
Americans will die for billionaires to thrive.
Over 1.9 MILLION people could lose access to a physician.
Over 1.3 MILLION people could go without needed medications.
Americans will die for billionaires to thrive.
Reposted by Adam Gaffney
Medicaid cuts could result in more than 16,000 preventable deaths annually
The cuts would also result in 7.6 million people losing coverage
www.statnews.com/2025/06/16/m...
The cuts would also result in 7.6 million people losing coverage
www.statnews.com/2025/06/16/m...
Medicaid cuts could result in more than 16,000 preventable deaths annually
Health care proposals in the One Big Beautiful Bill Act could lead to more than 16,000 preventable deaths, a new analysis finds.
www.statnews.com
June 16, 2025 at 10:48 PM
Medicaid cuts could result in more than 16,000 preventable deaths annually
The cuts would also result in 7.6 million people losing coverage
www.statnews.com/2025/06/16/m...
The cuts would also result in 7.6 million people losing coverage
www.statnews.com/2025/06/16/m...
Reposted by Adam Gaffney
Proposed Medicaid cuts could lead to thousands of deaths, study finds www.nbcnews.com/health/healt...
Proposed Medicaid cuts could lead to thousands of deaths, study finds
Several provisions in the bill passed by House Republicans last month, including Medicaid work requirements, would lead to the loss of coverage for millions of people.
www.nbcnews.com
June 16, 2025 at 9:21 PM
Proposed Medicaid cuts could lead to thousands of deaths, study finds www.nbcnews.com/health/healt...
[email protected] has a forum asking "How Did We Fare on COVID-19", centered on Macedo & Lee's critique of our pandemic response — with responses from @cailinmeister.bsky.social & James Owen, @adamjkucharski.bsky.social, @jonathanpjwhite.bsky.social, and myself. Interesting discussion...
How Did We Fare on COVID-19? - Boston Review
To restore public trust and prepare for the next pandemic, we need a reckoning with the U.S. experience—what worked, and what didn’t.
www.bostonreview.net
June 20, 2025 at 1:57 PM
[email protected] has a forum asking "How Did We Fare on COVID-19", centered on Macedo & Lee's critique of our pandemic response — with responses from @cailinmeister.bsky.social & James Owen, @adamjkucharski.bsky.social, @jonathanpjwhite.bsky.social, and myself. Interesting discussion...