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Atul Gawande

@Atul_Gawande348k followers

Surgeon, Writer ("Being Mortal," "Checklist Manifesto"), and formerly led Global Health @USAID. Threads: atul.gawande. Bsky: @agawande.

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1Feb 27, '25Yesterday, Rubio terminated 5800 USAID contracts – more than 90% of its foreign aid programs – in defiance of the courts. Here’s a list of just some of the lifesaving awards that w60.2×4.4M20k8.2k4.4k
2Jan 25, '25I ran @USAID health programs for the last 3 years. Trump’s 90 day Stop Work Order on foreign assistance does serious damage to the world and the US. Examples:🧵29.4×2.1M12k4.7k2k
3Jul 1, '25STAGGERING: This new study of 133 countries is the first to estimate the impact of all USAID’s work. In 2 decades, it saved *92M* lives. Current cuts, if not reversed, are forecast18.9×1.4M6k2.8k1.4k
4Aug 28, '25Medicine and public health have added three decades to the human lifespan. Vaccination alone produced 40% of the reduction in child deaths. And now a disturbed and unqualified man 13.9×1M14k4.1k611
5Jun 25, '25This is a travesty and a nightmare. The US was a founder of @Gavi. It lowers vaccine costs for the world, has vaccinated 1B children, and averted 19M deaths. This pull out will cos10.2×738k8.1k2.9k496
6Sep 1, '259 CDC Directors going back to 1977 speak out. What RFK Jr has done to our nation’s public health system "should alarm every American." It "is unlike anything we have ever seen at t9.7×706k5.2k2.4k420
7Mar 9, '19A 6 yr old Oregon boy whose parents refused vaccination got the first pediatric case of tetanus in the state in 30 years. Produced lockjaw requiring a tracheostomy and 5 wks on a v8.0×07.3k6k123
8Feb 6, '25Rubio claims that @USAID lifesaving assistance for health and humanitarian needs will continue. But his team just communicated that the entire agency will be imminently reduced fro7.8×566k1.9k941255
9Mar 13, '25Nothing will kill more children than the ongoing decimation of CDC, NIH, and USAID work to lift vaccine uptake in the US and world. Child survival rose 75% in the last 50 years. Va6.9×497k3.7k1.5k299
10May 29, '20Pulling out of WHO is a disaster for the lives and health of all people, including Americans. I can’t imagine a worse thing to do in the midst of a pandemic and ongoing work to fig5.9×09.8k3.4k55
12Mar 12, '20It appears we are a week or so behind Italy. A ban on flights from Europe isn’t going to change that. More decisive federal action — massive testing and social distancing — appears5.5×06.9k3.9k238
13Oct 18, '20Such a great article: “Households that got cash instead of standard aid packages saved 60% more, consumed 32% more, & expanded productive assets like livestock by 76% more...Re5.2×07.8k3.1k473
14Apr 19, '22Wow. On board JetBlue. Attendant just announced that the courts struck down CDC’s 2 week extension of the mask mandate today and JetBlue now dropped its mask requirement. The atten5.1×010k1.6k115
15Feb 3, '25USAID being unlawfully dismantled. DOGE member has closed HQ. New tranche of workers cut off email. Staff tell me, "It is frightening being inside USAID right now. Our checks and b5.1×371k2.5k835188
16Sep 26, '17This cannot be defended. People are w/o water, medicines, power. But the WH won't lift restrictions on shipping?4.9×05.3k4.3k0
17Mar 28, '20This, from @HarvardHBS, is the best analysis I've seen on what happened in Italy.4.9×05.5k2.9k1k
18Jun 12, '20Important results: Remember the 2 MO hairstylists who saw 140 clients over 8 days while infected with COVID but everyone had worn masks? Contact tracers found ZERO secondary infect4.8×06.8k3k235
19Nov 9, '20I'm grateful and honored to be asked to serve and to contribute to ending this pandemic. We have runaway spread right now. But I am confident we can get the virus under control, sa4.7×011k88034
20Sep 13, '20This is what is possible. Masks, Distancing, Testing, and Tracing work. But we need a leader who pulls people together to take the problem seriously, instead of sabotaging those wh4.7×08.8k2.4k43
21May 4, '17The #AHCA makes every measure of US health and health care worse by shifting ~$1 trillion from bottom 40% to top 2%. It is unconscionable.4.6×04.4k4.4k0
22Feb 3, '25This is not a "pause." It is a destruction now. And here is the terrible scale of the damage this will do to America and humanity.4.5×326k2.6k821227
23Aug 13, '17We are all indebted to #HeatherHeyer, who gave her life resisting white supremacy. The president won't say it or her name. So we all must.4.4×06.2k3.4k0
25Feb 4, '17BTW, two foreign-born MDs who went to serve rural Ohio when others didn't: my mom (pediatrics) and dad (urology). In 1965, 1995, and 2005:4.4×08k2.3k1
26Jun 9, '18Just got out of the OR to read this piece about Trump’s new lawsuit to bring back pre-ex condition exclusions. If it won, all four of my patients would be denied coverage on the in4.2×05.8k3.2k13
27Feb 10, '25Elon Musk wants to strip out payments for the indirect costs of doing vital medical research for the federal govt — while SpaceX gets to keep its undisclosed indirect rate, which i4.2×306k3k926154
28Jun 27, '17Problem isn't just 22m uninsured. It's the vision of a system where average insurance has a $6000 deductible & bad chronic illness coverage.4.2×05.8k3.1k1
29Nov 30, '17What the tax bill does to graduate students alone — the seed of our economic future — should be reason enough to stop this disaster. And then there is what it does to healthcare fo3.9×05.1k2.9k0
30Nov 7, '20It is hard not to be emotional in this moment. We have had a president who fomented division and chaos, attacked doctors and science in the midst of the worst public health crisis 3.8×08.4k1.2k34
32Oct 18, '20Masks work? YES. This is appalling. Atlas offers no explanation for the increasing mountain of evidence in support, and instead offers only a bizarre and incoherent paper. I don't 3.5×05.9k1.5k195
33Oct 3, '17I refuse to believe that it is beyond us to regulate access to weapons that can enable a madman to shoot 500+ people in cold blood.3.2×05.3k2k0
34May 19, '20What's happening in Brazil is horrifying. The coronavirus is spreading rapidly, overwhelming the health care system, and proving especially deadly for the medical workers on the fr3.2×03.6k2.5k139
35Jun 16, '20It will be great news if dexamethasone, a cheap steroid, really does cut deaths by 1/3 in ventilated patients with COVID19, but after all the retractions and walk backs, it is unac3.1×05.3k1.5k81
36Apr 24, '21"Now my oxygen level is 50, and the guard at the Balrampur hospital is not letting me enter.” Such a disturbing picture of COVID overwhelming Indian hospitals. This journalist, fin3.0×04k2k145
37Sep 22, '17All 50 states.3.0×04k2.3k0
38Apr 16, '18While you weren’t looking, an Ebola vaccine has emerged that appears to actually work.2.9×04.4k1.9k17
39Jun 13, '20Such a disturbing study. "What we found in this study is that people with talent that come from disadvantaged households don’t do as well as people with very little talent from adv2.9×04k1.9k235
40May 8, '25Stunning. With rollout of the RSV vaccine and treatment for babies <8 months old, RSV hospitalizations fell >50%. By comparison, for toddlers and kids <5 years who were no2.9×207k2.1k584138
41Mar 21, '20NEWS: What Singapore and Hong Kong’s success in protecting health care workers teaches us about controlling the pandemic. My piece in @NewYorker2.8×03.3k1.9k253
43Mar 14, '17Final point: Annual opioid overdose deaths now exceed the peak of deaths in the worst year of the HIV/AIDS epidemic.2.7×01.8k2.6k0
46Sep 12, '20This report is stunning. Political appointees are interfering in the publication process of MMWR, the CDC’s longtime, hallmark public health journal, to insure alignment with the P2.5×03.8k1.7k69
47Apr 23, '21This outbreak is vital to understand. It shows what we still face if younger folks go unvaccinated. 47% of health care workers refused vax, while only 10% of residents did. Result:2.5×03.4k1.6k181
50May 24, '20I have become a target for ads from sellers of these evil valved masks. The valve provides “breathability” when you exhale by releasing your breath and its contagion-carrying respi2.3×03.2k1.5k61
51Oct 17, '20Warning for COVID scientists: An impostor is asking scientists for an interview using the email atulgawande65@gmail.com (not mine) and signature “Atul Gawande, Staff Writer, The Ne2.3×02.9k1.6k52
52Nov 5, '18My latest @NewYorker piece, in gestation for a couple years now, as you’ll see. Something to read about other than the election, at least. It is on the state of health care informa2.3×02.6k1.3k215
53Dec 3, '17The assurances @SenatorCollins was promised for her Yes vote are fading fast. Still a chance for her to stop this disaster on the final vote on the conference committee bill yet to2.2×02.6k1.8k0
54Jan 13, '17Paul Ryan got this wrong. It's not 8% but 27% of those <65 who are uninsurable due to a pre-existing condition. You know some of them.2.2×02.1k1.9k0
55Dec 30, '20India was on a trajectory to have the worst COVID epidemic in the world. But with far less resources for combatting COVID than US or Europe, it has turned the tide — with a determi2.1×03.3k1.1k109
56Jul 29, '20This survey finds that 90+% of parents of color fear school reopening. Most distressing additional finding: 44% fear that without school, their children will not have enough to eat2.1×02.8k1.5k73
57Mar 22, '20Today, my health system took a big step: Notified staff that they're adopting the model described here, with face masks at all times & a health check each shift for even mild i2.1×03.1k1.2k83
58May 13, '17This is real: "That doesn’t mean we should take care of the person who sits at home, eats poorly and gets diabetes,” Mulvaney said.2.1×01.8k1.6k0
61Aug 28, '20Bit by bit, the FDA & CDC's strengths have been pecked away to insure fealty to the President instead of the people. The damage will take years to undo. For those who devoted o1.9×03.1k1.1k59
62Dec 18, '21I'm excited to get to work!1.9×04.8k29819
63Jan 29, '21The JNJ vaccine results indicate we miraculously have at least 3 safe, highly effective vaccines. Headlines focus on the 66% overall efficacy. But the big deal is that the single-d1.9×03.5k88578
64Mar 16, '20As Coronavirus puts us into uncharted waters, tonight I have joined w 15 health leaders to publish an open letter in @USATODAY with an urgent, lifesaving message: Everyone who can,1.9×02.3k1.4k43
65Jun 24, '20This is beyond alarming.1.8×02.6k1.2k72
66Dec 7, '19Testing showed DNA in the bone marrow transplant patient’s blood was replaced by his donor’s. No surprise there. But over time cells all over his body had donor DNA. The DNA in his1.8×02.2k967253
67Nov 12, '20New Mich. hospital data: Of people admitted with COVID, 70% were alive and home 60 days later. Of those who'd been working, 40% either lost their job or were still too sick to work1.8×02.5k1.1k115
68Sep 24, '17Humanitarian disaster unfolding: Millions of Americans w/o power, potable water. Now our most urgent crisis. What's the plan WH? Congress?1.8×02k1.5k0
69Jan 22, '19Big news on the Ebola vaccine from Congo: "the evidence the WHO has been gathering in North Kivu — where nearly 64,000 doses have been administered — point to the vaccine being 'hi1.7×02.5k1.1k22
70Oct 23, '20This figure says it all.1.7×02.3k902101
71Feb 23, '18“As a doctor, I feel I have a duty to inform the public of what I have learned as I have observed these wounds and cared for these patients. It’s clear to me that AR-15 or other hi1.6×02.2k1.3k0
72Nov 18, '20I am late to this. But it is so good.1.6×03.2k49948
73Aug 13, '20CDC calls out face masks with valves -- they do not stop spread of coronavirus because the valve lets exhaled air out. Airlines are banning them. Others should, too.1.5×02k1.1k39
74Jan 27, '18Palliative care is absolutely NOT synonymous w end of life care. It is the field devoted to providing people with serious life-limiting Illness with expert care that serves their g1.5×02.1k1.1k1
75Jan 21, '21I agree with Europe: Wearing medical-grade masks will be important to slow the spread of the B.1.1.7 strain. We have consistent evidence that single-layer cloth masks are not as ef1.5×02.2k802130
77Mar 21, '21We have gone big to vaccinate the US. We need to undertake exactly such an effort abroad: an all-out response for an all-in global vaccination campaign. We have the production know1.5×02.9k59343
78Jun 10, '17This is three minutes of essential listening. Send around to all friends of health care.1.5×01.7k1.2k0
79Apr 12, '20If you read nothing else this weekend, read this masterful @NewYorker profile from @specterm, who has covered Fauci for three decades1.4×02.1k763253
80Feb 3, '21People ages 20-49 drive 76% of the spread of COVID, but people over age 55 are 93% of the deaths. Hence our challenge.1.4×01.9k951122
81Nov 4, '21Huge news for the global COVID fight. Covaxin is an inactivated virus vaccine. Effectiveness is 93% vs severe disease; 65% vs symptomatic Delta infection. Can be stored in a fridge1.4×02.8k58748
82Feb 24, '21Fabulous trial reduced loneliness, depression, and anxiety in Meals on Wheels participants who live alone over four weeks. How? College volunteers w 2 hrs training simply called a 1.4×02.1k676152
83Jun 21, '203 things I was wildly wrong about: 1) the # of rally goers (6,200 v 19K); 2) the % who don’t care or believe COVID is a danger to their family (<10% wore masks); 3) I hadn’t eve1.3×02.7k55236
84Jul 13, '21I’m honored to be nominated to lead global health development at @USAID, including for COVID. With more COVID deaths worldwide in the first half of 2021 than in all of 2020, I’m gr1.2×02.8k27111
85Jan 15, '18“Of all the forms of inequality, injustice in health care is the most shocking and inhumane.” - Martin Luther King, Jr.1.2×01.8k9271
86Jan 25, '21Pfizer's move is indefensible. Yes, squeeze every dose we can. But cutting deliveries from 40M to 33M vials for the same price cannot be justified. Especially when many places lack1.2×01.9k68244
87Mar 13, '21How great is it that our biggest clickbait of the week is Meghan and Harry, and our biggest worry seems to be whether monarchy is doomed rather than whether democracy is doomed or 1.2×02.7k3775
89Nov 17, '21It is getting clearer and clearer that mRNA vaccines are three-dose vaccines.1.2×01.9k514107
90Nov 15, '20One of @edyong209’s best. The exhaustion of health care workers treating COVID is mounting. And the hardest part is the “societal fatigue” of seeing case after case & beds fill1.1×01.8k57783
91Jul 28, '172 of 3 major branches of our national government are fundamentally broken right now. In this very moment.1.1×01.7k6300
92Oct 22, '22Super interesting research. The answer is at least partly that elephants’ cells have an astounding twenty copies of p53, a cancer repair gene. Ours have just one.1.1×01.8k446223
93Oct 7, '20Recently, @BrighamWomens had a COVID-19 outbreak among 20+ patients & staff. We rapidly traced and tested all contacts and advised quarantine. We deployed PCR testing in <241.0×02k45924
94Aug 14, '17Trump attacking a black CEO by name for quitting his council over #Charlottesville, but won't criticize Nazis. He is simply unfit for office1.0×01.6k6420
95Jul 13, '21This is disastrous for the health of children in Tennessee.1.0×01.8k44720
96Oct 6, '20Watch and learn.1.0×01.7k47648
97Nov 23, '20Having a 3rd vaccine with such strong early results (incl 1 regimen w 90% efficacy) is stunning. AZ/Oxford vax: - Regimen 1 (1/2 dose then, 1 mo later, full dose): 90% - Regimen 2 1.0×01.9k35825
98May 12, '21Massachusetts reached 75% of adults with at least one COVID vaccine dose -- and yesterday joined half a dozen other states, Israel, England, Scotland, and Northern Ireland in havin0.9×01.8k43617

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