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Physician | Building systems for better care | Women's health is primary-to-critical care | Author of The Art of Humanity | Pragmatic about problems, optimistic about solutions

28/07/2026

Here is the reality behind his hand-waving:

1) Mathematical modeling published in eClinicalMedicine found that a 90-day freeze in PEPFAR funding would cause between 60,000 and 74,000 excess HIV deaths in seven sub-Saharan African countries alone.
2) Data from the ImpactCounter dashboard projects that the first year of the USAID funding discontinuation caused 159,272 excess adult HIV deaths.
3) Across all terminated USAID global health programs, including malaria and child health, ImpactCounter tracks 262,915 adult deaths and 518,428 child deaths over a single year.

He claims private foundations can seamlessly take over overnight. But severing a multi-billion dollar federal supply chain destroys the last-mile logistics, rural clinics, and healthcare workers required to deliver medication. Private charity cannot instantly rebuild a destroyed public infrastructure.

Wiping out lifesaving care, demeaning women, and casually treating human lives as disposable rounding errors on a ledger is not government efficiency. It is completely diabolical.

🧾
- CIDRAP: https://www.cidrap.umn.edu/hivaids/pepfar-funding-cuts-will-lead-74000-excess-hiv-deaths-africa-2030-experts-warn
- Impact Counter PEPFAR Tracker: https://pepfar.impactcounter.com/
- Impact Counter Global Dashboard: https://www.impactcounter.com/dashboard

28/07/2026

Here is the reality behind his hand-waving:

1) Mathematical modeling published in eClinicalMedicine found that a 90-day freeze in PEPFAR funding would cause between 60,000 and 74,000 excess HIV deaths in seven sub-Saharan African countries alone.
2) Data from the ImpactCounter dashboard projects that the first year of the USAID funding discontinuation caused 159,272 excess adult HIV deaths.
3) Across all terminated USAID global health programs, including malaria and child health, ImpactCounter tracks 262,915 adult deaths and 518,428 child deaths over a single year.

He claims private foundations can seamlessly take over overnight. But severing a multi-billion dollar federal supply chain destroys the last-mile logistics, rural clinics, and healthcare workers required to deliver medication. Private charity cannot instantly rebuild a destroyed public infrastructure.

Wiping out lifesaving care, demeaning women, and casually treating human lives as disposable rounding errors on a ledger is not government efficiency. It is completely diabolical.

🧾
- CIDRAP: https://www.cidrap.umn.edu/hivaids/pepfar-funding-cuts-will-lead-74000-excess-hiv-deaths-africa-2030-experts-warn
- Impact Counter PEPFAR Tracker: https://pepfar.impactcounter.com/
- Impact Counter Global Dashboard: https://www.impactcounter.com/dashboard

26/07/2026

December 1, 2025 marked the moment anomalous traffic triggered an investigation at a Nashville pathology group serving 169,626 patients. The forensic review did not close until April 27, 2026. Notification letters reached mailboxes June 23, 2026. Seven months between detection and disclosure.

169,626 records contained names paired with Social Security numbers and clinical histories.

Forensic teams cannot notify until they know what left the building. Encryption status and log integrity each determine whether a breach legally exists. The clock starts at confirmation, not intrusion.

This timeline repeats across health systems because the rules reward thoroughness over speed. Patients wait half a year while attorneys verify every field.

https://www.hipaajournal.com/tennessee-pathology-group-data-breach/

25/07/2026

Ardent Health physicians and advanced practice providers have crossed one million ambient AI supported encounters, a milestone announced July 23, 2026 that reflects adoption across thirty hospitals and two hundred eighty sites of care. Documentation burden drives burnout and this technology returns time to the bedside.

Eighty seven percent of ambulatory encounters now run through ambient AI, more than double the forty to forty five percent benchmark reported in peer reviewed studies. That utilization gap explains why providers reclaim more than three hours each week from documentation alone.

Jennie Zheng, a family medicine physician in Tyler Texas, logged the millionth encounter. She cut her own charting time by fifty three percent, from one hundred thirty five minutes to sixty four minutes per eight hour session. The numbers prove the system scales from pilot to enterprise without losing fidelity.

When adoption reaches this depth the conversation shifts from whether ambient AI works to whether health systems can afford not to deploy it. Four hundred eighteen thousand unique patients have already benefited since the September 2025 rollout.

https://www.financialcontent.com/article/bizwire-2026-7-23-ardent-health-surpasses-1-million-patient-encounters-supported-by-ambient-ai

24/07/2026

GSK's new lung cancer drug, Jideytro, just received FDA approval for advanced non-small cell lung cancer with ROS1 alterations. This molecule was developed by Nuvalent, a company GSK acquired for $10.6 billion. The approval arrived earlier than its expected September 18 decision date.

An estimated 50,000 patients worldwide are diagnosed with ROS1-positive non-small cell lung cancer each year, a condition Jideytro now treats.

GSK's acquisition of Nuvalent in early June, which closed two weeks ago, brought with it Jideytro and another near-commercial cancer drug, neladalkib. This second drug, for ALK-altered NSCLC, awaits an FDA decision by November 27.

The speed of this regulatory nod, coupled with the immediate return on a major acquisition, illustrates how pharmaceutical mergers can directly translate into accelerated patient access to new therapies.

https://medcitynews.com/2026/07/gsk-lung-cancer-fda-approval-nsclc-zidesamtinib-jideytro-ros1/

23/07/2026

CMS and CDC have opened a request for information on the Clinical Laboratory Improvement Amendments of 1988. The regulations were enacted October 31 1988 and promulgated in 1992. Comments close September 14 2026. The RFI spans breath testing laboratory processes emergency preparedness cybersecurity and artificial intelligence.

September 14 2026 marks the deadline for public comment on the first substantial CLIA review in over three decades. The original regulations were enacted October 31 1988 and promulgated in 1992.

Laboratories operate under HIPAA security requirements yet the RFI acknowledges gaps the current rule does not adequately protect against. Connected technologies including laboratory information systems electronic health record integration automated diagnostic devices and remote access create attack surfaces that did not exist in 1992. CMS seeks details on identity management overseas access port restrictions response plans and training.

What happens when the interpreter becomes the vulnerability? Artificial intelligence introduces a second category of risk the 1988 structure could not anticipate. Model corruption and hallucinations in postanalytic interpretation could cascade into inaccurate patient results.

Two distinct threats converge on the same regulatory vacuum. Cybersecurity exploits the infrastructure that modern testing requires. Artificial intelligence exploits the interpretive authority that modern testing delegates. The comment period will reveal whether laboratories can describe the problems they live with daily.

https://www.hipaajournal.com/hhs-seeks-input-potential-clia-updates/

22/07/2026

A coalition of 42 state attorneys general just settled with 23andMe for $18 million over a data breach that exposed 6.9 million customer records. The company initially blamed customers for poor security, yet investigations found 23andMe lacked basic protections like multi-factor authentication and breached password checks. This failure allowed a credential stuffing campaign to go undetected for five months.

The company did not compare user passwords against blocklists of known breached credentials, nor did it require multifactor authentication. New York is slated to receive more than $705,000 from the settlement.

Credential stuffing attacks succeeded because 23andMe had no rate limiting or intrusion prevention measures in place. Insufficient logging and monitoring meant the campaign, which began in April 2023, was not discovered until September 2023.

Companies collect sensitive genetic data and then fail to implement standard cybersecurity practices. When a breach occurs, the initial response is to blame the user, but the systemic fault lies with the structure that permits such vulnerabilities.

https://www.hipaajournal.com/23andme-settlement-multistate-data-breach-lawsuit/

21/07/2026

Cuba’s national power grid collapsed hours after an interview signaled willingness to negotiate with the US. Its electrical workers are investigating the total disconnection, which followed a 58% year-over-year drop in tourism. US sanctions are cited as a primary factor.

The HHS uncovered $3.5 billion in hospice fraud, marking a significant crackdown on providers who exploit end-of-life care. This figure represents a direct cost to the healthcare system from fraudulent claims.

Providers manipulate billing codes or offer unnecessary services, which inflates patient numbers and siphons funds from legitimate care. This financial incentive structure rewards fraud over genuine patient need.

The system allows bad actors to thrive because oversight mechanisms are often reactive, not preventative. They exploit vulnerabilities for profit, creating a cycle where fraud is detected only after significant damage occurs.

https://www.activistpost.com/cubas-grid-collapses-hhs-uncovers-3-5-billion-hospice-fraud-ai-to-compete-with-big-pharma/

17/07/2026

One health system in Chattanooga detected a breach on May 13 that had been moving patient data to a billing partner for ten months. The partner was a business associate that knew its HIPAA obligations. 4,237 anesthesia patients received notices this week. The disclosure was impermissible but the partner faced no penalty.

Erlanger Health System operates six hospitals across Tennessee and the breach touched 4,237 patients who received anesthesia care at its Western California campus. The billing partner was a business associate fully aware of HIPAA responsibilities. Yet data flowed to it for ten months before detection. The impermissible disclosure warrants notification but the partner faced no penalty.

Anesthesia groups rotate through hospital contracts and each rotation creates a new data handoff point. Erlanger used one anesthesia group for its Tennessee campuses and a different group for its Western California patients. The billing partner served both groups so patient records crossed organizational boundaries without a new consent layer. The system assumed the partner's HIPAA awareness was sufficient guardrail. It was not.

This pattern repeats because health systems treat billing partners as infrastructure rather than as additional attack surfaces. Every contract renewal adds a data path that no single compliance officer maps completely. The breach is the expected outcome. The anomaly would be a system that knows every place its patient records travel before they arrive there.

https://www.hipaajournal.com/ohio-living-erlanger-heart-america-eye-care-data-breaches/

17/07/2026

CISA and the NSA published joint guidance on July 15 2026 for software manufacturers to build coordinated vulnerability disclosure programs. The document names international partners as coauthors and specifies a clear policy with triage remediation and CVE assignment steps. Third party intermediaries like national computer security incident response teams can substitute or supplement the effort.

Mid July 2026 marks the publish date for guidance treating security researchers as collaborators rather than threats. Joint authorship by CISA the NSA and international partners signals a shift from adversarial patching to structured cooperation.

Vulnerability disclosure without a coordinated program creates a race between the researcher who finds the flaw and the adversary who exploits it. The guidance forces manufacturers to own the triage timeline so the gap between discovery and remediation becomes measurable and accountable.

What happens when a manufacturer ignores a reported flaw because no rule requires a response? The guidance answers by making the disclosure policy a prerequisite for CVE assignment which ties public tracking to institutional accountability.

The pattern reveals that trust in digital infrastructure depends on whether the institution creating the tool also provides a path for its own correction. That route now has a publish date and a list of authors.

https://www.cisa.gov/resources-tools/resources/establishing-coordinated-vulnerability-disclosure-program-work-security-researchers

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