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And really the biggest take away from this article is listen to @mclemoremr. She's been saying this for years! Short cut: just read all her awesome t-shirts during zoom calls. No but seriously, read all her academic and public scholarship. & Rhea Boyd MD, MPH. & Rachel R. Hardeman, PhD, MPH #CiteBlackWomen

Also shout out to Faith Fletcher, PhD, MA for putting that article in conversation with this one. These are very much structural problems and we need to really carefully examine the proposed solutions. statnews.com/2021/06/10/nih…

What about making the award process a lottery? That would reduce bias towards large, well-funded investigators and institutions, and help reduce disparities in the process.

And more troublesome features of Aducanumab by Rita Redberg 3) Biogen and FDA worked together on post-hoc analysis to explain why one of the studies showed small benefit and another didnt. And importantly, 3 years later and FDA approval, still no published Phase III study! 3/3

If people can’t go to work because they can’t get child care, and small businesses have to shut down because they can’t find the employees they need, all of a sudden we’re in a downward spiral. We can’t build a 21st-century economy without quality, affordable child care.

Very honored and hugely grateful for mentorship from Alex Smith, MD, Kristine Yaffe Melissa Aldridge and support from Ken Covinsky Krista Lyn Harrison John Boscardin Catherine Gilliss Hai-Yen Sung UCSF School of Nursing

⁦Joan M Teno MD, MS⁩ on Hospice economics, venture capital and proposed reforms #hospice #hapc #hpm JAMA Health Forum – Health Policy, jamanetwork.com/journals/jama-…

What’s Wrong With Advance Care Planning? ja.ma/3BCnzp2 via JAMA part of JAMA Network

Thread about @manlyepic & my @jamaneuro commentary re one especially shameful aspect of the FDA approval of #aduhelm. Before working w/ @manlyepic on this, I knew it was bad, but I didn’t know how bad. doi:10.1001/jamaneurol.2021.3404 1/27

In @Biogen’s FDA filing, only 0.6% (ie 19 people) of 3285 trial participants identified as Black, 3% as Hispanic, 0.03% (1 person) American Indian or Alaska Native, and 0.03% as Native Hawaiian or Pacific Islander. Of 9% identified as Asian, 94% were recruited in Asia. 2/n

Legitimate question, are any of these people nurses? Second question why are they all men? #manel

We are hiring! We are looking for a programmer to join a new core team supporting Medicare data analysis. Remote work possible. UCSF is a mission-driven organization and you'll work with great people! sjobs.brassring.com/tgwebhost/jobd…

via ⁦The New York Times⁩ - hospices too understaffed to take new patients. Abandonment everywhere. Profit motive hollowing out workforce bc of moral distress and low wages. nytimes.com/2021/10/16/hea…

Almost half (half!!!) of hospice enrollees have dementia. Super duper important article I had the pleasure to work on with Melissa Aldridge Amy Kelley Mount Sinai GeriPal Impact of Comorbid Dementia on Patterns of Hospice Use | Journal of Palliative Medicine liebertpub.com/doi/10.1089/jp…

Love this from New Scientist

Major conflict of interest. This is not about evil doctors selling out, but about conflicts that can create unconscious biases, blind spots, and degradation of trust. Industry needs partnership with clinicians. But if you take $, don't advocate. statnews.com/2021/11/01/the…

For Medicare to cover hospice, patients need a 6-month prognosis. I wrote about how that rule disadvantages people with dementia for The Washington Post. (1/8) washingtonpost.com/health/2022/03…

Thank you Emily Harris for writing about this important issue in The Washington Post. Patients with dementia and their families deserve better #hospice care at end of life.

Great advice

UCSF Geriatrics Krista Lyn Harrison Lauren Hunt Kristine Yaffe Christine Seel Ritchie JAGS Median life expectancy of community-dwelling persons with dementia + severe disability was 1.7 years; 1/4 died within 7 months. Life expectancy shorter for: age 90+, bedbound, homebound, unintended weight loss, comorbid cancer or depression. agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…