Bob Hopkins, MD MACP

State Medicaid budgets will decline by $665 billion under new federal law, report finds • Stateline State Medicaid budgets will be reduced by a total of $665 billion over the next decade, after President Donald Trump’s One Big Beautiful Bill Act cuts federal investment in the health insurance…

By 2034, Medicaid will have 7.6M fewer enrollees

AZ, IA and NV will see their Medicaid budgets reduced by more than 15%.

CA and NY will see Medicaid budgets drop by $112B and $63B, respectively

Data via @Rand.org

A "small contingent of US troops" is how you get a catastrophe where a small unit is overwhelmed (or nearly overwhelmed), to the tune of substantial American casualties.

He seems pretty sensitive whenever someone confronts him with evidence that Putin might not be our friend. Even when Fox brings it up.

RFKjr & MAGA Senate are willfully making America’s children sicker & sicker! I remember the yearly sugar cube with the polio vaccine as a child! No child in This America is safe. Making it worse are the MAGA parents that don’t believe in vaccines! youtu.be/-69UKVE07ik?... go.bsky.app/27s4UK2

Trump can't simply say, "I won!" and stop the war because that would leave Israel vulnerable. Trump has committed you and your children to fighting in the Middle East forever without consulting you or your representatives in Congress. Netanyahu knew what he was doing when he engineered this.

I am sorry to say that at least 10 people have died in ICE custody since January, not nine. They are:

Geraldo Lunas Campos
Luis Beltran Yanez-Cruz
Luis Gustavo Nunez Caceres
Parady La
Heber Sanchaz Domínguez
Victor Manuel Diaz
Lorth Sim
Jairo Garcia-Hernandez
Alberto Gutierrez-Reyes
Emmanuel Damas

So far the war in Iran has cost an estimated $5.5 billion.

That's roughly $1 billion per day.

$41,666,667 per hour.

$11,574 per second.

People do not want this.

They want a living wage. They want healthcare. They want to be able to afford a home. They want their basic needs met.

WAR CRIMES DON'T HIDE SEX CRIMES!

THANK YOU FOR YOUR ATTENTION TO THIS MATTER!!

JUST IN: A federal judge has barred Gov DeSantis from designating CAIR as a terrorist organization and punish those who associate with the group.

“Once again, Florida chooses political posturing over the First Amendment,” Judge Walker writes.

storage.courtlistener.com/recap/gov.us...

Reminder that the US military budget is larger than the military spending of the next nine largest countries combined.

Over half goes to private defense contractors.

This is the military-industrial complex Eisenhower warned of — on steroids.

They cut Meals on Wheels for seniors, doctors for the VA, and food for American children - but send billions of taxpayer dollars to the Middle East for an unnecessary war of choice.

WATCH — @senpeterwelch walks through a no-bid $143,000,000 contract that went to @KristiNoem’s spokeswoman Tricia McLaughlin’s husband’s company that had just been formed.

She should be impeached for this outrageous scandal alone.

Yet it’s barely a blip in this corrupt regime.

Democratic voters in Texas scramble to find polling place amid precinct voting switch Early voting had been countywide and saw record Democratic turnout, but the switch to precinct-only locations left many voters showing up at the wrong spot and being turned away.

🚨BREAKING: Hundreds of Democratic voters in Dallas and Williamson Counties, Texas scrambled to find their polling places Tuesday after the local Republican parties refused to hold a joint primary — ending more than a decade of convenient countywide voting. www.democracydocket.com/news-alerts/...

🤥 @KristiNoem today: “I didn’t call Alex Pretti a domestic terrorist.”

FLASHBACK: she sure did 👇🏽

Eisenhower

Mark Warner: "I saw no intelligence that Iran was on the verge of launching any kind of preemptive strike against the United States. None."

Sad but true…

"The Peace President." [Cartoon by Benjamin Slyngstad]

Photo of a Spartanburg Costco store.

Only 6 new measles cases in South Carolina since Tuesday, state health officials said today. But public exposure incidents continue- including a 3rd incident at this Costco in Spartanburg. Outbreak total cases now at 979. More: www.healthbeat.org/2026/01/27/s... #publichealth #IDsky #MedSky #Episky

Is Rubella ready to return?

#IDSky #PublicHealth #InfectiousDisease

Thanks for the share! #IDSky

Florida uses emergency rule to cut patients off AIDS medication The state filed the changes the day before a legal hearing with the AIDS Healthcare Foundation.

"Emergency" rule means 1000s of Floridians will lose access HIV/AIDS medications March 1. Ladapo said the move was needed to fill a budget shortfall made worse by expiring premium tax credits. No other state has made such a drastic change.

#IDsky #publichealth #LGBTQ #Florida #politics

Review Article Group B Streptococcal Disease Karen M. Puopolo, M.D., Ph.D. Figure 1. Incidence of Infant Early-Onset and Late-Onset Group B Streptococcal Disease in the United States, 1990–2022. Data for 1990–1996 are from Schrag et al.65 and for 1997–2022 are from Centers for Disease Control and Prevention (CDC) Active Bacterial Core Surveillance reports (https://www.cdc.gov/abcs/reports/). AAP denotes American Academy of Pediatrics, and ACOG American College of Obstetricians and Gynecologists.

Group B streptococcal infection mostly affects newborns, infants, pregnant persons, and older adults. Perinatal prevention is successful but contributes to antibiotic exposure. Multivalent glycoconjugate vaccines are in development. Learn more: nej.md/4aJJ6Pv

#MedSky #IDSky #Neonatology

🛟😷🧪 Medsky idsky

Multicounty Outbreak of Salmonella Agbeni ... This report describes a 2024 Salmonella outbreak linked to ice in a cooler at a county fair in Illinois.

Via CDC's MMWR: Salmonella outbreak linked to beer cooler at county fair in Illinois--in 2024. Fair warning to all fair go-ers this year!

#foodsafety #IDsky #coldbeverages #StateFair #publichealth #microbes #ick

Opinion | RFK Jr.’s war on vaccines is coming for the elderly The miseries of aging are more linked to late-life infections than was previously understood.

"Kennedy and his advisory panel have not actively attacked the CDC’s recommendations for adult vaccines, but there are plenty of hints that they could."

Nice column by Don McNeil.

COVID vaccine is on the next ACIP meeting agenda.

#IDsky #vaccines #immunology #publichealth #healthpolicy

Subacute Sclerosing Panencephalitis after Measles Infection | NEJM A 7-year-old boy was brought to a hospital with a 3-month history of cognitive deterioration and seizures. He had contracted measles at 7 months of age while living in an area where the ...

#IDSky. The impact of the measles epidemic is enormous -misery, costs, and disruption. One tragic consequence, while rare, will be an increase in SSPE in a few years. I've seen one case and it was one of the saddest things I have ever seen-and that is saying a lot. www.nejm.org/doi/full/10....

#IDSky

He plans to subvert more than the midterm elections. He wants to cancel national elections and turn this country into a dictatorial monarchy.

Suspected or Confirmed Infant Botulism Outbreak Cases with ByHeart Powdered Infant Formula Exposure by State, through December 10, 2025

𝐍𝐨𝐰 𝐚𝐯𝐚𝐢𝐥𝐚𝐛𝐥𝐞 𝐢𝐧 𝑵𝑬𝑱𝑴 𝑬𝒗𝒊𝒅𝒆𝒏𝒄𝒆!

A new Public Health Alerts report, published in partnership with @cidrap.bsky.social: Multistate Infant Botulism Outbreak Associated with Powdered Infant Formula eviden.cc/4qXflB5

#MedSky #IDSky #PedSky