Happy #WorldAIDSDay2025 to everyone fighting, surviving, and showing up…even if this administration refuses to. My Thanksgiving story from last week feels relevant today too. www.hiv-hcv-watch.com/blog/nov-24-...

Trump deploying the National Guard in LA—something we haven’t seen since Selma. But in ‘65, troops protected civil rights marchers. History doesn’t repeat, it mutates. If you're still calling this “law and order,” you’ve missed the part where the Constitution was lit on fire. #Resist

My dad passed Tuesday. He was loud, loyal, flawed, and full of life. A provider. A hell of a dancer. He loved his family, the Saints, and the water. We’re asking folks to donate to One Way Love in his honor: The Ernest Manint Memorial Fund. 🖤 tjoe.co/4y5ci9

Ernest Manint Memorial Fund | Supporting At-Risk Youth Through One Way Love

Honor the memory of Ernest Manint, beloved husband, father, and New Orleans native, through the Ernest Manint Memorial Fund. Supporting One Way Love's mission to help at-risk youth in St. Tammany Pari...

tjoe.co

Spoke on PhRMA’s 2025 PRIDE panel with Evan Low & Tekla Taylor—grateful for the convo and the community. I said: Policy is the tool. Advocacy is the pressure. Allyship is the commitment. It’s not enough to care quietly—we have to show up, speak up, and push back. #QueerVoices #LGBTQHealth

My latest analysis for CANN

Community Access National Network (CANN)@handle.invalid · last yr.

NEW ANALYSIS: CMS draft guidance creates a dangerous regulatory vacuum in 340B drug pricing. By refusing to mandate federal claims modifiers, CMS enables billions in duplicate discounts while threatening safety-net providers. Our take: buff.ly/dWpFGVD #340B #DrugPricing

RFK Jr’s budget would slash $33B from HHS, impose Medicaid work rules, and shut down critical agencies. It’s not about “waste”—it’s about gutting public health. Read why this matters now: tjoe.co/ont5p6 #HealthPolicy #Medicaid #HHSbudget #HealthcareCrisis

RFK Jr's Budget Testimony Reveals Concerning Vision for America's Healthcare Safety Net

RFK Jr's congressional testimony on the proposed 2026 HHS budget reveals a concerning vision for healthcare that could leave millions without coverage - here's what patient advocates need to know.

open.substack.com

This isn’t policy theory—it’s personal. I work with teens who are hungry, unhoused, and uninsured. These cuts will hurt them on purpose. If you claim to follow Jesus, maybe ask why your politics betray the people He told us to protect. tjoe.co/o6wqa2

The Largest Upward Transfer of Wealth in American History

House Republicans voted to advance a bill that would offer lavish tax cuts for the rich while slashing benefits for the poor.

tjoe.co

New antibiotics for STIs are here—but so is the chaos. Public health labs are closing, resistance is rising, and vulnerable communities are on the frontlines. We’re sabotaging our own fight. Read my latest analysis: tjoe.co/gihjsg #PublicHealth #STIsky #HealthPolicy #AntibioticResistance

Antibiotic Crisis: Hope Amid Institutional Decline

Antibiotic-resistant STIs are outpacing new treatments. But even our best breakthroughs can’t outrun political sabotage.

tjoe.co

As a former brand marketer, all I can say is the leadership at WarnerMedia are idiots. But glad they realized that their most valuable brand asset really was their most valuable brand asset. Nice to see you again, Home Box Office.

Patients are paying more for life-saving meds, but manufacturers aren’t getting richer—middlemen are. My latest article breaks down how PBMs and hospital systems pocket the difference while patients suffer. #healthpolicy #pharmsky #medsky tjoe.co/wv2j1f

The High Cost of Middlemen Medicine

Why patients pay more while hospital systems and middlemen cash in on America’s broken drug market.

tjoe.co

New Tulane study shows PLWH in redlined areas face 15% longer delays in care—193 days vs. 164. The past is still prescribing outcomes. The map may have changed, but the realities haven’t. Read more: tjoe.co/ohot90 #HIVsky #PublicHealth #EpiSky #HealthPolicy

Mapping Injustice: Redlining's Legacy in HIV Treatment Delays

As political attacks target health equity research, new evidence shows discrimination from the past continues to shape treatment outcomes today

tjoe.co

It’s time to clean house. If you’re over 65, it’s time to retire from congress. If you’re too scared to lead in this moment, then sit the fuck down. Chuck, go write your books and get out of congress, you’re done. Bernie, go rally troops and retire, you’re useless in the senate.

Can confirm. 😭 #ADHD Also, fuck you #RFKJr (for good measure)

Today is National Fentanyl Awareness Day. Naloxone is available over the counter and can reverse a fentanyl overdose. Learn where to get it and how to use it at fentanylawarenessday.org. #NFAD2025

National Fentanyl Awareness Day

A day of action to raise public awareness about an urgent problem: illegally made fentanyl. Join our effort.

fentanylawarenessday.org

Also what’s the makeup budget in this administration? He’s painting his face like Trump.

Leaked HHS budget proposes gutting HIV prevention, mental health care, and public health infrastructure. A 33% slash that puts lives—and decades of progress—at risk. Full breakdown: tjoe.co/ri2vcv #HIVsky #PublicHealth #HealthPolicy #PoliSky

The Pitt is seriously the most intense tv show I’ve ever seen. Jesus. Really fantastic writing and acting. But damn.

Measles—the disease we fought so hard to eliminate—is making a comeback in the U.S. thanks to falling vaccination rates. We’re nearing the tipping point for endemic measles again. This didn’t have to happen. #PublicHealth #VaccinesWork #IDSky #MedSky www.reuters.com/business/hea...

US at tipping point for return of endemic measles

At current U.S. childhood vaccination rates, measles could return to spreading regularly at high levels, with an estimated 851,300 cases over the next 25 years, computer models used by the researchers suggest.

reuters.com

Y’all need to stop 😭💀

Awwww. www.nytimes.com/2025/04/22/b...

Tesla Profits Drop 71% Amid Backlash to Elon Musk’s Role Under Trump

The carmaker reported the sharp decline in quarterly earnings after Tesla’s brand suffered because of its chief executive’s role in the Trump administration.

nytimes.com

Trump - Penn Vance - Yale Cruz - Harvard Hegseth - Harvard RFK Jr - Harvard Dr Oz - Harvard Ratcliffe - Notre Dame Stefanik - Harvard We clearly need to re-evaluate the value and product of “elite” higher education institutions in this country.

The HIV data systems built to protect us are being gutted in real time—by design. This isn’t modernization. It’s demolition. Read why it matters before it’s too late. tjoe.co/b1ljh3 #HIV #PublicHealth #HealthPolicy #Privacy #HealthcareIT

System Failure: Inside the Collapse of HIV Data Protections

A sweeping purge of federal IT staff and unchecked data grabs are unraveling HIV privacy protections—threatening care, safety, and public trust.

tjoe.co

1/7 Follow-up to last night’s thread on the @wsj.com op-ed: It wasn’t just an isolated rant. It was the prelude. Tonight, @nytimes.com reports the Trump admin nuked Covid.gov and replaced it with a full-blown propaganda site declaring “lab leak” the true origin of Covid. #IDSky #PoliSky

Trump Declares Lab Leak as ‘True Origins’ of Covid on New Website

Government websites that once provided basic information about the virus now redirect to a page citing a number of misleading or heavily contested claims.

nytimes.com

#SisterHillbilly 💀

1/8 The @wsj.com just published a full-blown fascist fanfic. A lab-leak conspiracy rant that calls Fauci a criminal, praises Trump as savior, and suggests an international tribunal led by Pam Bondi. Yes, really. #PoliSky #PublicHealth #MediaAccountability #ScienceNotStunts

Trump’s drug policy is a contradiction wrapped in carceral cosplay. Harsh penalties. Fake wellness farms. Slashed data teams. And somehow…test strips? I break it down here: tjoe.co/7y4odn #DrugPolicy #PublicHealth #HarmReduction #Medicaid #SubstanceUse #SUD #Recovery

Mixed Signals: Trump's Drug Policy Undermines Its Own Goals

What do you get when you combine performative punishment, gutted health agencies, and a wellness farm fantasy?

tjoe.co

This is what happens when you replace evidence with ideology in public health: People die. Predictably. And this is just the beginning. $11.4B clawed back. 20,000 laid off. Vaccine outreach halted. Read my full analysis: tjoe.co/eymkkp #PublicHealth #IDSky #HIVsky #RFKJr #HHS #CDC

I’ll just post this real time convo between me and my aunt as my commentary on #whitelotus

Quick strategy note for Dems: Elon is a problem. But Trump is THE problem. Stop letting the Musk distraction run cover. This is Trump’s mess—own the messaging. Every corrupt, fascist move, every erosion of rights? That’s his legacy. Don’t let people forget it.

Congressman Greg Casar@repcasar.bsky.social · 2y ago

While Elon Musk makes $8 million a day off government contracts, he's firing Social Security workers so seniors have to travel in person and wait 4 hours to get help when the government mistakenly declares them "dead" and cuts off their benefits. Save Social Security. Fire Elon Musk.