David Machledt
@machledtdc.bsky.social
Give me a bike, time to adventure, and family and friends to share it with. Also, a lot of health policy, but the views here are my own.
Reposted by David Machledt
My colleague (and expert on Medicaid law) Andy Schneider’s new blog explores the approach and fact checks the Trump Administration’s threat to withhold a significant chunk of Minnesota’s Medicaid funding.
ccf.georgetown.edu/2026/01/16/c...
ccf.georgetown.edu/2026/01/16/c...
CMS Weaponizes Fraud Against Medicaid in Minnesota
On January 6, 2026, the Centers for Medicare & Medicaid Services (CMS) Administrator, Dr. Mehmet Oz, sent a letter to the Governor of Minnesota, Tim Walz, notifying him that his state’s Medicaid agenc...
ccf.georgetown.edu
January 16, 2026 at 7:21 PM
My colleague (and expert on Medicaid law) Andy Schneider’s new blog explores the approach and fact checks the Trump Administration’s threat to withhold a significant chunk of Minnesota’s Medicaid funding.
ccf.georgetown.edu/2026/01/16/c...
ccf.georgetown.edu/2026/01/16/c...
Reposted by David Machledt
"California’s utility solar and battery generation has risen by 58%, yet generation at the sunniest hour of the day has risen by just 8%."
Batteries are delivering solar after dark!
Batteries make it possible to deliver solar in all hours of the day!
Batteries change the game.
#energysky
Batteries are delivering solar after dark!
Batteries make it possible to deliver solar in all hours of the day!
Batteries change the game.
#energysky
January 16, 2026 at 1:16 PM
"California’s utility solar and battery generation has risen by 58%, yet generation at the sunniest hour of the day has risen by just 8%."
Batteries are delivering solar after dark!
Batteries make it possible to deliver solar in all hours of the day!
Batteries change the game.
#energysky
Batteries are delivering solar after dark!
Batteries make it possible to deliver solar in all hours of the day!
Batteries change the game.
#energysky
Reposted by David Machledt
Here is a gift link to the Times’ new analysis of the Good shooting. www.nytimes.com/2026/01/15/v...
Video Analysis of ICE Shooting Sheds Light on Contested Moments
www.nytimes.com
January 16, 2026 at 1:46 PM
Here is a gift link to the Times’ new analysis of the Good shooting. www.nytimes.com/2026/01/15/v...
Reposted by David Machledt
Reposted by David Machledt
Oh cool! There's tons of evidence showing the newborn RSV shots cut hospitalization by ~80% in the first season. But this shows a major benefit persists in the second year, too.
The NIRSE-GAL study looking at real world impact of nirsevimab in infants in Spain.
Of 12 492 eligible infants, 94·4% received immunization. RSV-related LRTI hospitalisations decreased by 85·9% in the 1st season and 55·3% in the 2nd.
www.thelancet.com/journals/lan... #IDSky
Of 12 492 eligible infants, 94·4% received immunization. RSV-related LRTI hospitalisations decreased by 85·9% in the 1st season and 55·3% in the 2nd.
www.thelancet.com/journals/lan... #IDSky
Impact of universal nirsevimab prophylaxis in infants on hospital and primary care outcomes across two respiratory syncytial virus seasons in Galicia, Spain (NIRSE-GAL): a population-based prospective...
Universal infant nirsevimab prophylaxis markedly reduced RSV-related hospitalisations
and outpatient morbidity, with sustained reductions in RSV-related LRTI hospitalisations
into the second season an...
www.thelancet.com
January 14, 2026 at 3:50 AM
Oh cool! There's tons of evidence showing the newborn RSV shots cut hospitalization by ~80% in the first season. But this shows a major benefit persists in the second year, too.
Reposted by David Machledt
Something I am struck by looking at videos from Minneapolis is that every clip shows ICE agents absolutely surrounded by people with cameras. They can't go anywhere without opposition. And even if people can't stop kidnappings, they are absolutely slowing ICE down and saving others in the process.
January 12, 2026 at 9:09 PM
Something I am struck by looking at videos from Minneapolis is that every clip shows ICE agents absolutely surrounded by people with cameras. They can't go anywhere without opposition. And even if people can't stop kidnappings, they are absolutely slowing ICE down and saving others in the process.
Reposted by David Machledt
ICE totaled this car, abducted a woman, and then left it in the middle of Snelling Avenue, one of the busiest streets in the Twin Cities.
This isn’t law and order, this state sanctioned terrorism. It’s fucking disgusting.
This isn’t law and order, this state sanctioned terrorism. It’s fucking disgusting.
January 12, 2026 at 8:19 PM
Reposted by David Machledt
Iran’s authorities are committing large-scale killing of protesters while having shut down the internet, cutting off people in Iran from the rest of the world.
Iranian authorities should immediately end the bloodshed and release everyone arrested for exercising their human rights.
Iranian authorities should immediately end the bloodshed and release everyone arrested for exercising their human rights.
January 12, 2026 at 8:13 PM
Iran’s authorities are committing large-scale killing of protesters while having shut down the internet, cutting off people in Iran from the rest of the world.
Iranian authorities should immediately end the bloodshed and release everyone arrested for exercising their human rights.
Iranian authorities should immediately end the bloodshed and release everyone arrested for exercising their human rights.
Reposted by David Machledt
The federal government has announced that 22.8 million people have signed up for ACA marketplace coverage for this year, down 1.5 million from last year with enhanced tax credits expiring. The coverage loss will likely grow as people don’t actually make their premium payments.
January 12, 2026 at 9:31 PM
The federal government has announced that 22.8 million people have signed up for ACA marketplace coverage for this year, down 1.5 million from last year with enhanced tax credits expiring. The coverage loss will likely grow as people don’t actually make their premium payments.
Reposted by David Machledt
Ellison: "Enforcing federal immigration law and fighting fraud are just pretexts for this surge. The real reason is no secret -- Donald Trump and his administration have been targeting people, cities, and states that don't agree with them politically."
January 12, 2026 at 9:47 PM
Ellison: "Enforcing federal immigration law and fighting fraud are just pretexts for this surge. The real reason is no secret -- Donald Trump and his administration have been targeting people, cities, and states that don't agree with them politically."
Reposted by David Machledt
📣 We’re hiring! NHeLP is seeking a motivated Paralegal to support our Enforcement & Litigation team. Join a fast-paced, mission-driven environment advancing health justice. Deadline: Jan. 16, 2026 (or 200 apps. Apply: https://nationalhealthlawprogram.applytojob.com/apply/rJbuLL0C0Y/Paralegal
January 12, 2026 at 9:00 PM
📣 We’re hiring! NHeLP is seeking a motivated Paralegal to support our Enforcement & Litigation team. Join a fast-paced, mission-driven environment advancing health justice. Deadline: Jan. 16, 2026 (or 200 apps. Apply: https://nationalhealthlawprogram.applytojob.com/apply/rJbuLL0C0Y/Paralegal
Reposted by David Machledt
“Trump is for Trump, and that’s the fear factor right there. He couldn't care less whether or not this golf course is affordable for Black folks to be playing on.” 51st.news/trump-take-o...
Trump may take over D.C.’s golf courses. Black golfers are especially worried.
The fate of D.C.’s three public golf courses is now uncertain.
51st.news
January 12, 2026 at 2:15 PM
“Trump is for Trump, and that’s the fear factor right there. He couldn't care less whether or not this golf course is affordable for Black folks to be playing on.” 51st.news/trump-take-o...
Reposted by David Machledt
Not an exaggeration at all to say that the feeling in Minneapolis is that the entire metro area is being treated as occupied territory by federal agents. Impossible to overstate how overwhelmingly people here do not like it. This does not feel sustainable.
January 10, 2026 at 1:02 AM
Not an exaggeration at all to say that the feeling in Minneapolis is that the entire metro area is being treated as occupied territory by federal agents. Impossible to overstate how overwhelmingly people here do not like it. This does not feel sustainable.
Reposted by David Machledt
Minneapolis, after the murder of Renee Nicole Good.
January 9, 2026 at 11:30 PM
Minneapolis, after the murder of Renee Nicole Good.
Reposted by David Machledt
I spent yesterday watching video of the murder; the video is evidence that can be presented to a grand jury. And reading eyewitness accounts of the murder, their testimony can be presented to a grand jury. Probable cause already exists.
You're going to hear a lot of lies about what the law allows after the Trump Regime's murder of Renee Good.
States can prosecute federal officers, they've been doing it since the 1800s. Trump cannot stop it and cannot pardon it.
Here's the legal analysis
www.patreon.com/posts/147687...
States can prosecute federal officers, they've been doing it since the 1800s. Trump cannot stop it and cannot pardon it.
Here's the legal analysis
www.patreon.com/posts/147687...
Minnesota Can & Must Prosecute the Unnamed ICE Agent Who Murdered Renee Good | Shouldn't Need to Be a Lawyer by Matthew Cortland
Get more from Shouldn't Need to Be a Lawyer by Matthew Cortland on Patreon
www.patreon.com
January 8, 2026 at 10:05 PM
I spent yesterday watching video of the murder; the video is evidence that can be presented to a grand jury. And reading eyewitness accounts of the murder, their testimony can be presented to a grand jury. Probable cause already exists.
Reposted by David Machledt
January 6, 2026 at 11:31 PM
Reposted by David Machledt
NEW Economist/YouGov
Net job approval for Donald Trump [at the start of his second term | now] among U.S. adult citizens by age
18-29: +5 | -32
30-44: -1 | -21
45-64: +15 | -9
65+: -1 | -10
d3nkl3psvxxpe9.cloudfront.net/documents/ec...
d3nkl3psvxxpe9.cloudfront.net/documents/ec...
Net job approval for Donald Trump [at the start of his second term | now] among U.S. adult citizens by age
18-29: +5 | -32
30-44: -1 | -21
45-64: +15 | -9
65+: -1 | -10
d3nkl3psvxxpe9.cloudfront.net/documents/ec...
d3nkl3psvxxpe9.cloudfront.net/documents/ec...
January 6, 2026 at 5:04 PM
NEW Economist/YouGov
Net job approval for Donald Trump [at the start of his second term | now] among U.S. adult citizens by age
18-29: +5 | -32
30-44: -1 | -21
45-64: +15 | -9
65+: -1 | -10
d3nkl3psvxxpe9.cloudfront.net/documents/ec...
d3nkl3psvxxpe9.cloudfront.net/documents/ec...
Net job approval for Donald Trump [at the start of his second term | now] among U.S. adult citizens by age
18-29: +5 | -32
30-44: -1 | -21
45-64: +15 | -9
65+: -1 | -10
d3nkl3psvxxpe9.cloudfront.net/documents/ec...
d3nkl3psvxxpe9.cloudfront.net/documents/ec...
Reposted by David Machledt
NEW Economist/YouGov
Net job approval for Donald Trump [at the start of his second term | now] among...
White Americans +17 | -5
Hispanic Americans -5 | -22
Black Americans -31 | -73
d3nkl3psvxxpe9.cloudfront.net/documents/ec...
d3nkl3psvxxpe9.cloudfront.net/documents/ec...
Net job approval for Donald Trump [at the start of his second term | now] among...
White Americans +17 | -5
Hispanic Americans -5 | -22
Black Americans -31 | -73
d3nkl3psvxxpe9.cloudfront.net/documents/ec...
d3nkl3psvxxpe9.cloudfront.net/documents/ec...
January 6, 2026 at 5:04 PM
NEW Economist/YouGov
Net job approval for Donald Trump [at the start of his second term | now] among...
White Americans +17 | -5
Hispanic Americans -5 | -22
Black Americans -31 | -73
d3nkl3psvxxpe9.cloudfront.net/documents/ec...
d3nkl3psvxxpe9.cloudfront.net/documents/ec...
Net job approval for Donald Trump [at the start of his second term | now] among...
White Americans +17 | -5
Hispanic Americans -5 | -22
Black Americans -31 | -73
d3nkl3psvxxpe9.cloudfront.net/documents/ec...
d3nkl3psvxxpe9.cloudfront.net/documents/ec...
Reposted by David Machledt
Thank you, @pauloffit.bsky.social , for this well-warranted righteous indignation. open.substack.com/pub/pauloffi...
RFK Jr.’s Tuskegee Experiment
RFK Jr. recently directed the CDC to fund a study in West Africa that lays bare his cruelty and dishonesty
open.substack.com
January 6, 2026 at 12:17 PM
Thank you, @pauloffit.bsky.social , for this well-warranted righteous indignation. open.substack.com/pub/pauloffi...
Reposted by David Machledt
NEW: 😱Secretary Kennedy has just WIPED OUT the child vaccination schedule with no input from pediatricians or even his hand-picked Advisory Committee on Immunization
One of the vaccines taken off is for meningitis. My sister almost died from meningitis years ago.
www.statnews.com/2026/01/05/c...
One of the vaccines taken off is for meningitis. My sister almost died from meningitis years ago.
www.statnews.com/2026/01/05/c...
Federal health officials slash recommended childhood vaccinations under Trump’s directive
The number of recommended childhood shots drops from 17 to 11.
www.statnews.com
January 5, 2026 at 7:17 PM
NEW: 😱Secretary Kennedy has just WIPED OUT the child vaccination schedule with no input from pediatricians or even his hand-picked Advisory Committee on Immunization
One of the vaccines taken off is for meningitis. My sister almost died from meningitis years ago.
www.statnews.com/2026/01/05/c...
One of the vaccines taken off is for meningitis. My sister almost died from meningitis years ago.
www.statnews.com/2026/01/05/c...
Reposted by David Machledt
BREAKFAST LINKS 1/5/26: National Park Service launches major fountain repairs in DC. Traffic deaths decline in Washington region. WMATA restores Yellow Line service to Greenbelt.
Breakfast links: Dry DC fountains could see water flow again
View this post on ggwash.org
ggwash.org
January 5, 2026 at 2:40 PM
BREAKFAST LINKS 1/5/26: National Park Service launches major fountain repairs in DC. Traffic deaths decline in Washington region. WMATA restores Yellow Line service to Greenbelt.
Reposted by David Machledt
"the OBBBA’s work requirements don’t encourage, much less require, employers to do right by their employees. What they will do is punish workers–like the dad with his nose to the grindstone at the pizzeria–for labor market circumstances beyond their control."
open.substack.com/pub/donmoyni...
open.substack.com/pub/donmoyni...
When Volatile Work Schedules Meet SNAP Work Requirements
New policies put low income workers in jeopardy of losing vital supports
open.substack.com
January 5, 2026 at 1:36 PM
"the OBBBA’s work requirements don’t encourage, much less require, employers to do right by their employees. What they will do is punish workers–like the dad with his nose to the grindstone at the pizzeria–for labor market circumstances beyond their control."
open.substack.com/pub/donmoyni...
open.substack.com/pub/donmoyni...
Reposted by David Machledt
Congestion pricing is an unqualified success in NYC. It would be great to see it expanded to every city with decent public transit options. www.nytimes.com/interactive/...
Congestion pricing after one year: How life has changed.
How life has changed in the New York area, according to data on traffic, transit and the responses of 600 readers.
www.nytimes.com
January 5, 2026 at 11:23 AM
Congestion pricing is an unqualified success in NYC. It would be great to see it expanded to every city with decent public transit options. www.nytimes.com/interactive/...
Reposted by David Machledt
ProPublica has found multiple cases of women with underlying health conditions who died when they couldn’t access abortions.
Tierra Walker, a 37-year-old mother, was told by doctors there was no emergency before preeclampsia killed her.
(Published November)
Tierra Walker, a 37-year-old mother, was told by doctors there was no emergency before preeclampsia killed her.
(Published November)
“Ticking Time Bomb”: A Pregnant Mother Kept Getting Sicker. She Died After She Couldn’t Get an Abortion in Texas.
Walker is one of several women ProPublica found with underlying health conditions who died when they couldn’t access abortions.
www.propublica.org
January 3, 2026 at 2:00 AM
ProPublica has found multiple cases of women with underlying health conditions who died when they couldn’t access abortions.
Tierra Walker, a 37-year-old mother, was told by doctors there was no emergency before preeclampsia killed her.
(Published November)
Tierra Walker, a 37-year-old mother, was told by doctors there was no emergency before preeclampsia killed her.
(Published November)
Reposted by David Machledt
This is the fault of Trump and Republicans
A live-in caregiver in Arkansas says the push for Medicaid cuts had already affected her family. In April 2025, she was notified that the hours Medicaid would cover for her care of her sister, who has cerebral palsy, would be reduced by 75 a month—despite no changes in her care needs.
‘People are going to die’: how Medicaid work requirements cost people their health insurance
Those caring for relatives with severe disabilities say planned Republican cuts will be fatal for some
www.theguardian.com
December 27, 2025 at 10:59 PM
This is the fault of Trump and Republicans