Jen Olsen, DrPH
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caradigm-shift.bsky.social
Jen Olsen, DrPH
@caradigm-shift.bsky.social
Epidemiologist dedicated to solving big challenges in #publichealth. Lover of sparkles, spicy foods & spin classes. Ideas on structurally shifting the way we approach caring for one another especially family #caregivers https://caradigmshift.substack.com/
Wealth in context 🤯
Jeff Bezos’s wealth has increased an average of $70 million every day of 2026, meaning that he could have offset The Post’s losses with what he’s made since Monday.
February 5, 2026 at 7:36 PM
This @statnews.com piece by @krutikakuppalli.bsky.social is a thoughtful, thorough assessment - I only take issue with the title. Author describes how this is not a failure of public health science, knowledge, or standard practice - it's a #policyfailure due to choices made by individuals anti-PH
#Measles in an ICE facility is a public health failure.

In my latest for @statnews.com, I argue this outbreak was avoidable and the result of policy choices that concentrate risk without basic prevention. V This is both a health and human rights failure.

www.statnews.com/2026/02/04/m...
Measles in an ICE facility is a public health failure
A marginalized population, a highly contagious disease, no systemic vaccination safeguards — no wonder there’s measles in an ICE detention facility.
www.statnews.com
February 5, 2026 at 1:51 PM
Great quote from Dr. Moore: "Aging is a good thing.
Getting older makes you wiser, more resilient, more accepting and happier. There will be changes and challenges. Focus on what you can do — not what you can’t." #healthyaging
Dr. Alison A. Moore was recently quoted in The New York Times Well section's article "24 Simple Secrets to a Healthier Life," sharing an empowering perspective on aging.

Read it here:
24 Tips for Better Health and Wellness (Gift Article)
We asked doctors, therapists and other experts to sum up their best advice in a few memorable words.
www.nytimes.com
February 3, 2026 at 2:45 PM
Looking forward to watching tomorrow's #VirginiaSenate subcomittee discussion of SB808 lis.virginia.gov/bill-details...

Visibility into payments from Medicaid providers is one step, why not get that same visibility and transparency from PE-backed facilities? #healthcarecosts
SB808 - 2026 Regular Session | LIS
lis.virginia.gov
January 29, 2026 at 8:46 PM
Reposted by Jen Olsen, DrPH
We’re heading back to 1990 levels (27,000 cases). If we keep it up we’ll get to pre-vaccination numbers (500,000 cases annually)

This is a self-made public health disaster 🤦🏻‍♂️
Holy moly this chart: Cumulative US measles cases
January 28, 2026 at 2:30 PM
Stunning image, stunning reality
WHO removing Us Flag
January 24, 2026 at 12:02 AM
USA aka the country of health dine and dash
Once again Trump tries to avoid paying bills. This time involving the entire US as defaulting on payments owed.

www.cidrap.umn.edu/public-healt...
US formally withdraws from World Health Organization, leaving debt
www.cidrap.umn.edu
January 23, 2026 at 3:40 PM
Spent the afternoon listening to #ACL/#RAISE #familycaregiver council. Remain disappointed, but not surprised, that the caregiver community continues to receive crumbs and is expected to be ecstatic. Recap here:
caradigmshift.substack.com/p/raising-qu...
a woman is talking to another woman in a living room and says `` just lower your expectations , okay ! ''
ALT: a woman is talking to another woman in a living room and says `` just lower your expectations , okay ! ''
media.tenor.com
January 20, 2026 at 9:10 PM
21st century progress for Virginians & their caregivers - You can now submit complaints online www.vdh.virginia.gov/licensure-an...
(Previously this was fax/email only) #vacaregivertips

Hopefully complaints will be investigated and made transparent
File a Complaint – Licensure And Certification
www.vdh.virginia.gov
January 15, 2026 at 3:13 PM
For those recognizing the respiratory illness risk (#flu, #covid, #ili) for themselves and those in their household, this is a thoughtful discourse on masking #tipsforcaregivers open.substack.com/pub/theunbia...
I posted about masks. Here’s what happened.
On harm reduction, psychological reactance, and why the discourse is failing us
open.substack.com
January 13, 2026 at 3:33 PM
Derek Sprague shows caregiving is par for the course (pun intended). All of us will be in a #caregiver role, with nearly 1/3 of all working adults caring while working. Interesting timing, as org recently announced revamped #PGA Care program - did his personal experience change internal supports?
Derek Sprague steps down as PGA of America CEO: PGA of America CEO Derek Sprague is stepping down from his position after one year on the job, the PGA of America announced on Wednesday.

The post Derek Sprague steps down as PGA of America CEO appeared first on Golf. #DerekSprague #PGA
Derek Sprague steps down as PGA of America CEO
PGA of America CEO Derek Sprague is stepping down from his position after one year on the job, the PGA of America announced on Wednesday. The post Derek Sprague steps down as PGA of America CEO appeared first on Golf.
golf.com
January 8, 2026 at 3:16 PM
Wrote today about the irony of the "health care system" and all it's pain points that #caregivers face every day caradigmshift.substack.com/p/move-over-...
January 7, 2026 at 4:17 PM
This sounds like the start of a @lastweektonight.com skit that would be hilarious if it wasn't true 💔
You cannot simultaneously care about maintaining measles elimination status while actively campaigning against the vaccine that allowed this elimination status to be achieved in the first place.
That's not how any of this works 🤷🏽‍♀️
www.reuters.com/legal/litiga...
US builds case to retain measles elimination status as infections mount
U.S. officials are building a case that ongoing measles outbreaks in South Carolina and other states are unrelated to last year's major outbreak in Texas, as it tries to retain its status of having el...
www.reuters.com
January 7, 2026 at 3:12 PM
@gavinyamey.bsky.social and @jonshaffer.bsky.social write reminding physicians of the commitment to doing no harm..."Trump and RFK Jr are dismantling the core institutions of public health—doctors should be resisting their damaging health policies, not supporting them."
January 7, 2026 at 2:39 PM
@mcgowankat.bsky.social writes of the double stigma of being a #caregiver supporting a person living with severe #mentalillness. There are not meal trains or get well soon cards, rather suffering and silence
January 6, 2026 at 3:12 PM
Reposted by Jen Olsen, DrPH
Once again, I implore media outlets to stop saying these are CDC decisions.

These are changes being made unilaterally by RFK Jr. against the expert advice of CDC scientists.

I note that RFK Jr. no longer recommends flu vaccine for kids in the midst of a horrible influenza year.
CDC overhauls childhood vaccine schedule to resemble Denmark in unprecedented move
The new U.S. guidelines recommend all children get vaccines for 11 diseases, compared with the 18 previously on the schedule.
www.nbcnews.com
January 5, 2026 at 7:34 PM
If you only read 1 series about #healthcare in America right now, read this 5-parter by @gingerthompson.bsky.social.
It's incredibly thorough & haunting & sadly aligns with the stories I heard from neighbors who were stuck seeking care from this system during my 6 years in SW Georgia. #ruralreality
December 11, 2025 at 4:30 PM
Started a new approach this #GivingTuesday by donating blood to @americanredcross.bsky.social, making donations to local thrift shops, and volunteering. A reminder that the day doesn't have to be about money to make a difference.
December 3, 2025 at 2:40 AM
If you (or your parents, grandparents, neighbors, friends, partners) find any of this #Medicare Open Enrollment stuff confusing, or just want to ask some questions to non-biased, certified, no-cost counselors, check out your local State Health Insurance Program www.shiphelp.org
October 15, 2025 at 9:05 PM
So excited to see this work featured by @dukemedschool.bsky.social (even though it pains me as a #tarheel). Centering #familycaregivers instead of keeping them as the "+1" to the patient is necessary for thinking about future programs, policies, and practice.
August 14, 2025 at 1:24 PM
Reposted by Jen Olsen, DrPH
Whoever had us playing Oregon Trail, whoever instituted that for public schools, was probably a time traveler. They saw RFK and all this shit, knew it couldn’t be stopped, and said, “well, they’re gonna need this.”
August 9, 2025 at 1:28 AM