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Justin Feldman Profile
Justin Feldman

@jfeldman_epi

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Epidemiologist of social inequality and state violence.

nyc
Joined May 2010
Don't wanna be here? Send us removal request.
@jfeldman_epi
Justin Feldman
4 years
Children don't get covid. But if they do they don't spread it. But if they do they don't get it at school. But if they do it's just at rates that reflect what's happening in the the area and doesn't drive community spread. But if it does this is really about greedy unions.
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@jfeldman_epi
Justin Feldman
3 years
In 1991, Derrick Bell, the first Black tenured prof at Harvard law, refused to teach in until the school hired a single Black woman professor. This went on for 2 years until he was fired (they didn't hire any Black women during that time).
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@jfeldman_epi
Justin Feldman
3 years
The Bush admin told NY the air was safe to breathe, they said we should return to normal and go shopping. Rescue & cleanup workers were told to not wear masks bc it could frighten the public. OSHA was kept away. Then it took 9 years to get a decent law covering their health care
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@jfeldman_epi
Justin Feldman
4 years
Apparently cops go around routinely injecting people with ketamine, no one knows how often it happens US-wide, and no one knows how many people die or end up with severe medical complications.
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@jfeldman_epi
Justin Feldman
2 years
Make sure you save some outrage for West Virginia v. EPA next week. It's likely to not only prevent the EPA from regulating greenhouse emissions, but also prevent the federal government from regulating anything at all.
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@jfeldman_epi
Justin Feldman
3 years
I feel like opening k-12, colleges and universities, parents going back to work, the end of pandemic unemployment assistance, and the eviction moratorium all at roughly the same time might not end well.
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@jfeldman_epi
Justin Feldman
2 years
I hate explanations that are like, 'People won't accept new behavioral norms in the name of public health because of centuries-old psychocultural commitments'. Bro, these same people stopped smoking in restaurants in the 90s.
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@jfeldman_epi
Justin Feldman
3 years
Very likely that we're going to go from CDC finally recommending N95s after over a year of pressure then, ~5 weeks later, not recommending any masks.
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@jfeldman_epi
Justin Feldman
2 years
A well-regarded university swiftly condemning the words of a Black woman scholar at the behest of a donor who happens to be one of the richest people on earth – this is academia.
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@jfeldman_epi
Justin Feldman
2 years
Things become much clearer when you realize the debate out whether we're in a pandemic is actually a debate about whether the ruling class should do anything to address the pandemic.
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@jfeldman_epi
Justin Feldman
2 years
That is a gigantic gap
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@jfeldman_epi
Justin Feldman
2 years
Before we return to framing gun violence as a public health crisis, we should consider how the US actually responds to public health crises.
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@jfeldman_epi
Justin Feldman
3 years
Five weeks ago I used a news database to find over 700 news headlines characterizing Omicron as mild. This narrative which, strategically emphasized certain pieces of the epidemiologic reality while ignoring others, was also pushed by Biden and academically credentialized pundits
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@jfeldman_epi
Justin Feldman
3 years
CDC estimates 30% of covid deaths are not counted as covid deaths. So while the US death toll is reported at 675,000, it is really more like 875,000.
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@jfeldman_epi
Justin Feldman
5 months
This was an unimaginablely labor intensive reporting project that's just starting to publish. Their database has uncovered hundreds of deaths not previously reported elsewhere and focuses on the role of death investigations by medical examiners and coroners
@AP
The Associated Press
5 months
Police tactics like physical restraints and Tasers aren’t supposed to end in death, but they can. The U.S. government struggles to track these cases, so a reporting team led by AP investigated and documented more than 1,000 deaths from 2012 through 2021.
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@jfeldman_epi
Justin Feldman
2 years
CDC cut isolation time to 5 days. They argued it was needed to preserve critical social functions (keeping Arby's open) during the massive wave of Omicron. The wave ended, more data came in showing continued transmissibility beyond 5 days, but the guidance hasn't lengthened.
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@jfeldman_epi
Justin Feldman
3 years
'The government and your boss put you in harms way. We took away paid sick days and unemployment supplements. Better get vaccinated so you don't starve.' I'm not a health comms person so I can't evaluate how effective this message is.
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@jfeldman_epi
Justin Feldman
2 years
What would it take for a single government official, or even non-governmental public health leader, to say the US is in crisis, has lost a quarter century of gains in life expectancy, and is not on track to recover.
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@jfeldman_epi
Justin Feldman
2 years
reminder that the guy who invented the business model for academic journals was ghislane maxwell's dad
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@jfeldman_epi
Justin Feldman
2 years
I can't help but contrast these sentimental images of a woman kissing avian flu-infected birds to the disgust that many westerners expressed at niche Chinese culinary traditions that were being implicated in coronavirus spillover in early 2020.
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@jfeldman_epi
Justin Feldman
3 years
The White House is basically flat out saying they're going to let the virus rip while emphasizing what they *hope* will be mild illness for vaccinated people. I'd hope this would be front page news, but it's not.
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@jfeldman_epi
Justin Feldman
3 years
This is a level of courage basically unheard of among tenured academics, particularly at elite institutions. I can already hear the colleagues' objections ('you'd make a bigger impact if you stayed'). But his departure made a huge impact at HLS and beyond.
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@jfeldman_epi
Justin Feldman
2 years
A setting without mask mandates is a setting that is inaccessible to large portions of the population.
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@jfeldman_epi
Justin Feldman
3 years
Still can't get over the fact that @CDCDirector called masks "a scarlet letter". And we all say things clumsily at times but the fact that she then posted the podcast in a thread announcing the new guidance suggests it was intentional.
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@jfeldman_epi
Justin Feldman
3 years
You can't ask whether the US pandemic response was a failure, you have to ask for whom it failed. The stock and real estate markets went up, fewer than 5,000 college-educated white people under 65 died, capital retained power over labor, and it succeeded as a eugenics project.
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@jfeldman_epi
Justin Feldman
3 years
When US experts call for the end of public health 'restrictions' they are dissembling. Everything is open and we all know it. What they mean is no more masking, quarantine, and isolation. What they mean is adjust your attitude so as not to withhold your labor or consumer dollars.
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@jfeldman_epi
Justin Feldman
3 years
It's hard enough to get tenured/TT faculty who self-identify as progressive to sign a petition. And yet:
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@jfeldman_epi
Justin Feldman
2 years
So much focus on covid spread among the political elite. But I would like even one (1) news story about how service workers are pressured to not wear masks. We don't even have clarity about whether OSHA is, in theory, still able to issue fines for workplace mask bans.
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@jfeldman_epi
Justin Feldman
3 years
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@benwakana46
Ben Wakana
3 years
If you are vaccinated, you could get COVID. But if you do, your case will most likely be asymptomatic or mild. We are intent on not letting Omicron disrupt work & school for the vaccinated. You have done the right thing. We will get through this.
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@jfeldman_epi
Justin Feldman
3 years
It would surely be better than nothing if the US provided all people with free N95s and rapid tests. But these are not *alternatives* to universal public health measures. Let's think about how disease spread works and how power works for a second.
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@jfeldman_epi
Justin Feldman
2 years
In her soft-denialist WaPo column today, Leana Wen claimed covid hospitalizations & deaths are being over-counted. Her evidence isn't any epidemiologic study or model. No, it's the opinions of two clinicians. One of them, Shira Doron, has long advocated against covid protections.
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@jfeldman_epi
Justin Feldman
2 years
It's within the realm of possibility that the US will have 100s of thousands more covid deaths this fall/winter. Not clear if funding will even be in place for boosters and treatment. Now would be a great time for health foundations, professional assns, unions, to develop a plan.
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@jfeldman_epi
Justin Feldman
2 years
In the last couple hours I've seen multiple public health/medical academics claim mask mandates can't return to US jurisdictions due to lack of public support. They cite no evidence for the claim and don't have much to say when confronted with evidence that they're wrong.
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@jfeldman_epi
Justin Feldman
4 years
Just want to clarify that cops are not physically the ones doing the injections. They are pressuring paramedics to do it and to use dangerously high dosing.
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@jfeldman_epi
Justin Feldman
3 years
Closing indoor dining? That's a restriction. Ending unemployment supplements and forcing a server to go into work while knowingly sick, possibly contagious? Pure freedom.
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@jfeldman_epi
Justin Feldman
4 years
At the risk of ruining the joke I need to intervene. This is sarcasm but literally the arguments ppl have been making about opening schools under all circumstances. Chief among them is Emily Oster, who is being funded by several anti-union orgs (Walton Foundation, etc).
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@jfeldman_epi
Justin Feldman
3 years
On the one hand I feel bad for this girl bc she's straight up not having a good time. On the other hand, she already has a well-developed understanding of how capitalism encloses the commons and when she encounters Marx everything will start to make sense
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@jfeldman_epi
Justin Feldman
1 year
RJK Jr. personally traveled to Samoa in 2019, where he and his org exploited a tragic news story of medical negligence to spread fear about MMR vaccines. His effort against vaccines was his only successful political campaign. 50 Samoan infants died in a measles outbreak.
@peterdaou
Peter Daou
1 year
Fascinating reaction to my argument that #RFKJr would be stronger than Biden in a general election. I've said Cornel West and Marianne Williamson would both be better than Biden. But when I said it about Kennedy, volcanic fury from Biden defenders. They're worried.
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@jfeldman_epi
Justin Feldman
4 years
Should we open schools? Yes! But that means shutting down lots of other institutions to suppress covid, providing air filters, and random testing for monitoring. But official US policy is to not control the pandemic.
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@jfeldman_epi
Justin Feldman
3 years
The small story: capitalists became richer during the pandemic The big story: capitalists avoided public health regulation, shifting these costs onto workers in the form of high rates of disease & death. They amplified voices of the scientists who would make this seem reasonable
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@jfeldman_epi
Justin Feldman
3 years
This is current guidance on the CDC website. Maybe it's time to stop making fun of the people who 'did their own research'. Please do your own research.
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@jfeldman_epi
Justin Feldman
3 years
Is it just me or did CDC go from "breakthrough infections are rare" to "we need boosters to prevent breakthrough infections" in like a week? And I'm not sure if the first talking point was rescinded.
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@jfeldman_epi
Justin Feldman
2 years
If you're gonna make up a story about the evils of affirmative action, maybe your examples shouldn't include two schools that operate under statutory affirmative action bans.
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@jfeldman_epi
Justin Feldman
2 years
Curious why the leading voice on covid in schools is an economist who happens to be funded by right-wing interests? Or why the pandemic response has turned into a question of individual choice? Check out this new piece by @abbycrts and me in @proteanmag
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@jfeldman_epi
Justin Feldman
2 years
Many of us are blocked, but this thread's a banger: You can't stop yourself from getting infected from viruses! (futility thesis) But if you can, it might actually harm your health! (perversity thesis). Because infections are part of human nature! (naturalistic fallacy)
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@jfeldman_epi
Justin Feldman
3 years
CDC reports the number of excess deaths in the US since the pandemic began has exceeded 1 million. This means 1 million more deaths were observed than would've happened without a pandemic, and isn't exactly an estimate of the number of covid deaths
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@jfeldman_epi
Justin Feldman
2 years
Having been on both sides of the transaction, $500 is a normal honorarium for a talk at a well-funded university. Anyone telling you to demand 7 times that is plugging their academic consulting business.
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@jfeldman_epi
Justin Feldman
2 years
Now is probably a good time to announce that Abby Cartus and I are writing a book, "How to Hide a Plague", that should be out in 2024 with University of Chicago Press. Huge thanks to our #1 hype man @chadzimmerman_ for making this happen.
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@jfeldman_epi
Justin Feldman
3 years
A key factor in not getting vaccinated (and failing to take other public health precautions) is believing a disease will not affect you severely. This isn't hard to figure out and not about incompetence. It's about economic interests: getting people back to work and shopping.
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@jfeldman_epi
Justin Feldman
3 years
In mid-may, OSHA killed a regulation that would've covered all industries for covid. The same week CDC weakened its guidance (no masks for the vaxed). In late Dec, OSHA suspended its health care worker covid regulation. The same week, CDC weakened its guidance (5 day isolation)
@jbarab
Jordan Barab
3 years
OSHA abruptly changes course and pulls emergency standard covering health care workers while it works on years-long permanent standard. Workers left without protection except for weak General Duty Clause. HCWs: WTF?
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@jfeldman_epi
Justin Feldman
2 years
It doesn't require a doctorate to understand the Biden administration is downplaying the short and long-term risks of covid due to economic and political considerations. In fact, having a doctorate and certain career ambitions might be an impediment to understand thiat.
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@jfeldman_epi
Justin Feldman
3 years
Why has Biden's covid response been so terrible and how could he have done better? I address that in a mere 7,000 words. "The White House did not want the pandemic to define Biden’s presidency. The virus, however, had other plans."
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@jfeldman_epi
Justin Feldman
3 years
The thing about "rare" adverse health outcomes is that when something happens 1 in 100 times, 1 in 1000 times, or even 1 in 100,000 times, it harms a whole lot of people when hundreds of millions are exposed
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@jfeldman_epi
Justin Feldman
3 years
A successful campaign against public health policies would: - be framed around the most sympathetic case, e.g. children's learning - attack its best-organized opponents, e.g. unionized teachers - create cross-class alliances btwn, say, professional class parents and businesses
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@jfeldman_epi
Justin Feldman
3 years
The main way that vaccinated people spread SARS-CoV-2 is by generating economic activity among unvaccinated workers
@DavidParsley50
David Parsley
3 years
EXCLUSIVE: G7 summit was ‘super spreading’ event for Cornwall as cases rocket 2,450% after world leaders' meet. Calls for surge testing in G7 Covid clusters as young hospitality staff fall ill forcing the closure of dozens of businesses. @theipaper
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@jfeldman_epi
Justin Feldman
3 years
The unstated US pandemic strategy: - Strongly disfavor policies that interfere with business - Favor individual behavior change - Tolerate an unlimited number of deaths - Intervene more strongly to avoid exceeding ICU capacity (sometimes) - Rely nearly exclusively on vaccination
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@jfeldman_epi
Justin Feldman
3 years
brb, calling 1-800-CDC-INFO to determine that my county is in a medium transmission level, then calling my doctor to help me determine whether masks, which are "a scarlet letter" and "a reminder that we're still in a pandemic", are right for me
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@jfeldman_epi
Justin Feldman
2 years
Today OSHA held hearings to consider a covid reg for health care workers. Also today, CDC weakened its health care covid guidance which likely undermines OSHA's regulatory efforts. This is pretty similar to what happened in mid-May 2021 with OSHA's attempted general industry reg
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@jfeldman_epi
Justin Feldman
3 years
It's pretty clear that the US ruling class is willing to accept a million deaths from covid over the next decade, a million deaths from drug overdose, and however many deaths from climate change. Only a radical redistribution of wealth and power can stop this.
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@jfeldman_epi
Justin Feldman
4 years
In my new essay, I ask why US politicians have claimed that most covid transmission happens at social gatherings while ignoring – or even denying – the central role of workplace exposure.
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@jfeldman_epi
Justin Feldman
3 years
I hope people aren't confusing this for an exhortation for people to get vaccinated. Read the language closely. This is a justification for the Biden admin's policy of not trying to control spread. It's okay, they say, because the undeserving, unvaccinated will die.
@JoshuaPHilll
Read No Shortcuts
3 years
Still struggling to believe this is real, but it is.
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@jfeldman_epi
Justin Feldman
3 years
'We sent grocery store workers to die so its unfair some teachers werent sent to die' is such a winning argument
@ProfEmilyOster
Emily Oster
3 years
I cannot amplify this piece strongly enough.
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@jfeldman_epi
Justin Feldman
2 years
A new normal was inevitable. But a new normal with no mitigation of risk or compensation for risk (beyond whatever level health care you happen to have access to) was only probable. This is a profound loss for old and disabled and working class people
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@jfeldman_epi
Justin Feldman
3 years
The issue is that they used a highly technical argument about intrinsic severity and wrongly equated it with low risk to public health, and used it as justification for taking a lax approach (e.g. halving isolation time to 5 days)
@ease_tree
Tree_Ease
3 years
@jfeldman_epi It’s milder, it’s just way more infectious. Like everyone said. Not sure what your issue is here
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@jfeldman_epi
Justin Feldman
2 years
A better covid response is possible 1) regulate risk in workplaces & institutions 2) economic + social supports, incl. expanding rights for disabled people 3) well-funded, community-led efforts for vaccination and treatment 4) Aggressive public R&D for vax and treatment
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@jfeldman_epi
Justin Feldman
3 years
If you liked the US response to covid with its prioritization of business interests over human life, blame of individual behaviors, obscuring of state accountability, promotion of sycophantic 'experts', you're going to love the next 50 years of climate crisis.
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@jfeldman_epi
Justin Feldman
3 years
Some combination of White House officials, governors, and policy elites developed a plan to transition away from the last few remaining public health measures (including vax mandates in some cases!). This has been coordinated in language and timing but barely reported on in media
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@jfeldman_epi
Justin Feldman
3 years
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@DataDrivenMD
Jorge Caballero, MD
3 years
More than anything in the world, I want to see the data that made the Biden COVID Response team say, “Fuck it.” I just don’t get it.
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@jfeldman_epi
Justin Feldman
6 years
@JStein_WaPo This was my favorite moment
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@jfeldman_epi
Justin Feldman
2 years
The US has gone from 2 approved SARS-CoV-2 antigen tests to many, but they still all cost consumers $8 for some reason (but cost very little to make and are sold for ~ $1 in much of Europe)
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@jfeldman_epi
Justin Feldman
3 years
In a pro-covid media landscape, Mehdi is the only anti-covid person on US television
@mehdirhasan
Mehdi Hasan
3 years
If you're tired of people saying they're 'done with Covid', that they want to 'move on' from the pandemic, get 'back to normal'... even as 3,000 people die on a daily basis & while ignoring Long Covid, this angry monologue from me tonight... is for you:
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@jfeldman_epi
Justin Feldman
3 years
One of the most consequential US domestic policies in generations – how to deal with a disease that's killed 1M+ people & is sure to kill many more over the coming years – is barely being acknowledged as such. And to the degree it's acknowledged it's presented as inevitable.
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@jfeldman_epi
Justin Feldman
3 years
If you oppose vaccinating adolescents because 1 in 50 might get really tired for one day, you're an antivaxxer. Doesn't really matter if you have an MD, MPH after your name.
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@jfeldman_epi
Justin Feldman
3 years
Even if you were to accept their framing that the unvaccinated brought it upon themselves, you should be alarmed that they are not sharing data about the number of vaccinated people who are dying. We can't even judge the success of their plan on its own terms.
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@jfeldman_epi
Justin Feldman
4 years
The 'herd immunity strategy' is not part of scientific debate. It's a political campaign coordinated by right-wing orgs designed to create the appearance of scientific disagreement. Abby Cartus and I documented all of this. Please read and share.
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@jfeldman_epi
Justin Feldman
1 year
I will one day write something about the history of CDC's undermining of worker health and safety protections, which goes back at least a half century.
@amymaxmen
Amy Maxmen, PhD
1 year
🚨My latest: A draft for updated CDC advice recommends that nurses & doctors wear surgical masks, not N95, when patients have endemic respiratory infections. "The CDC must not undermine respiratory protection regulation" says workplace safety regulator
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@jfeldman_epi
Justin Feldman
3 years
I think many of us went into social epidemiology thinking 'if we can show that xyz issue is not only unjust, but also harms public health, it can move the needle on policy change.' Well, the results are finally in...
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@jfeldman_epi
Justin Feldman
8 months
Harvard's previous president broke campus covid rules in March of 2020 by having two custodians continue to clean his home biweekly. This likely is what caused both to become very sick. National media were uninterested in the story.
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@jfeldman_epi
Justin Feldman
2 years
This is why the vibes are so fucked right now
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@jfeldman_epi
Justin Feldman
2 years
It's kind of funny that the two top US pandemic response officials are both multi-millionaires who live in / often work from Newton, MA
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@jfeldman_epi
Justin Feldman
3 years
You can find a dozen opinion pieces in major US publications about how 'polarization', distrust, or disinformation explain the failures of pandemic response. But show me a single piece that tries to explain why hugely popular public health measures have gone away in blue states.
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@jfeldman_epi
Justin Feldman
3 years
science, and its well-known attribute of having two sides
@ProfEmilyOster
Emily Oster
3 years
School masking is the third rail of twitter, but I would encourage everyone to read this piece whether you agree with it or not. Among other things, a good review of the science on both sides.
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@jfeldman_epi
Justin Feldman
2 years
Just wanted to point out that Florida's surgeon general who is promoting the state health department's antivax "study" is a Harvard PhD health policy grad lol.
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@jfeldman_epi
Justin Feldman
3 years
The magnitude of inequality in covid deaths is almost unbelievable. It's not something we see with other major fatal disease. The age-standardized death rate for college-educated whites is roughly a tenth of what Black, Latinx, and indigenous men are experiencing.
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Justin Feldman
3 years
I wonder if he knows that high quality masks were not, in fact, provided by Chicago Public Schools until the Chicago Teachers Union won them through a strike.
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@jfeldman_epi
Justin Feldman
1 year
Anyone here who is fluent in hospital-management-thought have insight as to why they oppose mask mandates? And I mean their own mandates, not those imposed by government. I'm looking for things like economic, logistical, or legal rationales rather than personal character flaws.
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@jfeldman_epi
Justin Feldman
4 years
How did Stockholm avoid having its hospitals overrun? They let old people and fat people die without care. While "Sweden" is invoked as a metonym for good social democracy in the US, it's a settler colonial state with a history of eugenics.
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@jfeldman_epi
Justin Feldman
2 years
Liberals are like, "I disapprove of what you say, but I will defend your right to receive a 5-figure speaking fee to say it to a member-based organization whose constituents have no say in whether you're invited."
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@jfeldman_epi
Justin Feldman
3 years
I tried, but failed, to figure out what this was actually arguing. Pretty sure there's some bot out there writing all these incoherent China takes
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@jfeldman_epi
Justin Feldman
3 years
This idea of providing individuals with "tools" and hoping for the best, as an alternative to having broader public health measures in place during times of very high transmission, leads to a lot of sickness and death among those with the least power.
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@jfeldman_epi
Justin Feldman
3 years
We can think about parents' control over their children, or men's patriarchal control over the women & children they live with. How might these affect negotiations of risk behaviors? Look at this heartbreaking account of a 17 year old, this stuff is common.
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@jfeldman_epi
Justin Feldman
2 years
NYT claims more than 5 million people read @DLeonhardt 's Morning Newsletter daily. It launched in 2020 in the window between WHO's pandemic declaration and the murder of George Floyd. In 243 newsletters (whose decided emphasis is covid) racial inequality is mentioned 9 times:
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@jfeldman_epi
Justin Feldman
3 years
A Jan 9 poll showed 70% of Dems didn't even want kids to be in-person to avoid omicron exposure. It's safe to assume anti-school-mask opinions are extremely rare among US liberals. This is how The Atlantic, owned by an anti-union ideologue, legitimizes these opinions for liberals
@chrislhayes
Chris Hayes
3 years
Again, this is purely an empirical question and a pretty difficult one to study cleanly. This is a rundown of the “they don’t work” case
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@jfeldman_epi
Justin Feldman
3 years
I want a lockdown. Not sure of a single country that's been able to rely on extremely high levels of individual behavioral compliance with "tools" like masks or tests in the absense of widespread immunity that protects from transmission.
@AbraarKaran
Abraar Karan
3 years
I do not know *anyone* who actually wants lockdowns. Literally no one wants that What is crazy to me is that if Americans had the right masks from day 1– we would never have had to shut down Instead- we had “don’t mask” then cloth mask/ bandannas; & even now, not much better
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Justin Feldman
2 years
This was recorded. Once the video is up I'll share the link here
@IBHH_UTMB
Institute for Bioethics & Health Humanities
2 years
Join the UTMB Bioethics and Health Humanities community for a talk by Dr. Justin Feldman ( @jfeldman_epi ) on 9/22 at noon CDT on "How to Hide a Plague: How Elite Capture and Individualism Made Covid Normal." This will be an all-virtual event. Info/RSVP:
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Justin Feldman
2 years
CDC no longer updates its estimates publicly, but it last estimated that actual covid death counts are 25% higher than reported in the US. IHME similarly estimates that new death counts are ~25% higher than reported.
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Justin Feldman
3 years
The new normal is just like the old normal. But with dramatically higher levels of disease, disability, and death. And without improved social or wage supports to compensate
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Justin Feldman
3 years
This is what happens when you tweet that the mall should be closed so hospitals don't collapse
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Justin Feldman
2 years
Ok I'll weigh in. The question for me isn't whether it's okay to express schadenfreude wrt Walensky. It's how can we pressure her, as executor of a family trust whose $ comes from her father's role in Titan Corporation, to pay reparations to Titan's torture victims in Abu Ghraib
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