Gregg Gonsalves

https://med-mastodon.com/@gregggonsalves

Epidemiologist. Activist. Drugs and Bugs.

Email: [email protected]
Yale Faculty Profile: https://ysph.yale.edu/profile/gregg_gonsalves/
My Writing at The Nation: https://www.thenation.com/authors/gregg-gonsalves/

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nprofile1qqstmszv2msc75p4ufj500ygpulaxuxsgm9gpakydyu9rxnea3lsgecpz3mhxue69uhhyetvv9ujuerpd46hxtnfduqs6amnwvaz7tmwdaejumr0ds4fuy8t

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npub1hhqyc4hp3agrtcn9g77gsrel6dcdq3k2srmvg6fc2xd8nmrlq3nstenesj

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Last Notes

2026-02-26 13:55:40 GMT

Help push us over 2500 letters! Still time to write to your Senators (and get your friends to do the same). Casey Means is a charlatan with dangerous views on contraception, raw milk, vaccines and has a whole lot of conflict of interest--she's making money off it all. Just say no to the quack.
https://actionnetwork.org/letters/oppose-nomination-of-casey-means-for-surgeon-general?clear_id=true

2025-12-07 20:10:20 GMT

RFK Jr.'s claim that COVID vaccines are deadly? Wrong. Wrong. Wrong. In this new extraordinarily large study, vaccinated individuals had a 74% lower risk of death from severe COVID-19 and a 25% lower risk of all-cause mortality compared to those who were unvaccinated. RFK Jr. is. liar and a fraud, as are Vinay Prasad and Tracy Hoeg at FDA who have made similar false claims about these vaccines. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2842305#note-ZOI251269-1

2025-12-04 10:15:57 GMT

The folks at Defend Public Health bring you this week’s Whopper of the Week. It’s the 21st century but RFK Jr wants to take us back to the 19th. Yes. Really. Forget Pasteur. Forget Koch. Forget germ theory. We’re back to miasma and terrain theory. The dude is bonkers. And he's gonna kill (more) people.
https://www.defendpublichealth.org/opinion/whopper-week-rfk-wants-you-fortify-your-immune-system-so-he-can-deprive-you-modern-medicine

2025-11-06 14:39:42 GMT

It’s time for us to reconnect with the radical, system-changing spirit that was once at the heart of our field. https://www.thenation.com/article/activism/public-health-social-movements-trump/

2025-11-01 11:12:17 GMT

Read all of this. "Children in Chicago’s Old Irving Park neighbourhood were preparing for a Halloween parade on Oct. 25 when federal agents reportedly deployed tear gas on the street to disperse protesters opposing immigration-related arrests in the neighbourhood." https://www.bellingcat.com/news/2025/10/31/illinois-immigration-protests/

2025-10-09 11:54:08 GMT

Ryan Enos and Steve Levitsky have been consistent voices against authoritarianism. Their latest: "American civil society has more than enough financial and organizational muscle to stop this authoritarian offensive. But it requires collective resolve."
https://www.thecrimson.com/article/2025/10/9/enos-levitsky-harvard-trump-compact/

2025-09-30 10:25:45 GMT

URGENT! Today the pedal hits the metal. Democrats have to play hardball to protect public health, healthcare and science. Write to your Senators and Representatives and share this post!
https://actionnetwork.org/letters/tell-democrats-to-stand-up-for-public-health-in-the-budget

2025-09-27 20:02:32 GMT

URGENT! Write your Democratic Senators and Reps with a plea to stand firm in the budget negotiations. If we don’t prevail now, we will end up with huge budget cuts to public health programs and workforce and loss of health care access for millions. No surrender! https://actionnetwork.org/letters/tell-democrats-to-stand-up-for-public-health-in-the-budget/

2025-09-25 21:17:44 GMT

URGENT! Write your Democratic Senators and Reps with a plea to stand firm in the budget negotiations. If we don’t prevail now, we will end up with huge budget cuts to public health programs and workforce and loss of health care access for millions.
https://actionnetwork.org/letters/tell-democrats-to-stand-up-for-public-health-in-the-budget/

2025-09-04 09:52:31 GMT

Caroline Kennedy warned us about her cousin #RFKJr, "a predator" presiding over "perverse scenes" of "despair and violence." His youth was the origin story of a new American Psycho. Now he is the position to inflict pain and suffering on millions. He has to go now. https://www.thenation.com/article/society/rfk-jr-resign-hhs/

2025-08-27 22:35:19 GMT

The Wednesday Night Massacre at #CDC. Key leaders depart after firing of Director. #RFKJr #Vought & #Trump have now destroyed the agency. Their acts will kill people. They have blood on their hands. https://www.statnews.com/2025/08/27/cdc-director-susan-monarez-ousted/

2025-08-21 21:50:18 GMT

May this portion of the dissent by Ketanji Brown Jackson haunt John Roberts forever and be the final word on his tenure as Chief Justice.
https://cdn.masto.host/medmastodoncom/media_attachments/files/115/068/957/763/868/436/original/2e0738b33a802a0d.png

2025-08-21 12:07:08 GMT

We are seeing the death of American biomedicine happening right before our eyes. Russell Vought, head of the Office of Management and Budget , is the culprit. https://www.fiercehealthcare.com/providers/nih-grant-cuts-have-pulled-2b-medical-schools-academic-hospitals-aamc

2025-08-20 10:04:19 GMT

Local business owner threatened with violence unless he hands over $1000 in small unmarked bills in a paper bag to two gentlemen wearing trench coats, cheap suits and sporting fedoras. "Critics call it extortion." https://www.nytimes.com/2025/08/19/us/politics/trump-universities-financial-penalties.html

2025-08-18 17:17:13 GMT

We're re-writing history and falling into a trap the far-right has set. How COVID contrarianism is being mainstreamed to our collective peril. My latest for The Nation. https://www.thenation.com/article/politics/covid-contrarianism-has-crossed-the-aisle/

2025-07-24 14:27:54 GMT

Muppets all around. https://www.programmablemutter.com/p/this-simple-chart-explains-why-columbia

2025-07-20 20:48:02 GMT

It's hard to believe this documentary on the take-over of Lincoln Hospital by the Young Lords showed up on the @nytimes.com site. But watch it, if you haven't seen it. It's the history of anyone who has ever cared about health care for all. https://www.nytimes.com/video/opinion/100000007959477/takeover.html

2025-07-12 20:07:58 GMT

Cowards. "The dismantling of Harvard’s diversity offices arrived at Harvard College on Wednesday as websites for centers serving minority students, LGBTQ students, and women disappeared suddenly and without fanfare." https://www.thecrimson.com/article/2025/7/10/college-fas-end-diversity-offices/

2025-07-04 12:13:09 GMT

My colleague Miranda Yaver has a new piece out in @thelancet.com Regional Health on Trump's first 100 days. Short form: it's a disaster for all of us. Keep writing. Telling the truth. History depends on us. https://www.sciencedirect.com/science/article/pii/S2667193X25001838

2025-06-08 14:57:29 GMT

This is horrifying.
https://cdn.masto.host/medmastodoncom/media_attachments/files/114/648/324/924/743/063/original/aadd20166468d6f3.mp4

2025-06-07 21:12:11 GMT

These are masked men, with weapons, no warrants and this is extrajudicial abduction, and with local police aiding and abetting this thuggery. It is illegal under international human rights law. https://www.nytimes.com/2025/06/07/us/la-immigration-raids-ice.html

2025-06-03 10:43:09 GMT

Another person who should be shunned forever, have no peace and shamed in public should he pop his head out of his burrow: Brad Smith. "Shrewd startup founder?". No. Architect of all the #HHS cuts. https://www.statnews.com/2025/06/02/brad-smith-doge-little-known-architect-67-billion-hhs-cuts/?utm_campaign=dc_diagnosis&utm_medium=email&_hsenc=p2ANqtz-9-tAzrTe-BcW_de8-AWEJEXL7mkgjwobmDLLaAtIghVslZSOgA5u2oHiUbycgzA14qwVoaSbeTUUwhE8L6mJsuA_FZ6cdBktQ9LhpWZquvwOSZjbk&_hsmi=364479291&utm_content=364479291&utm_source=hs_email

2025-05-31 11:27:53 GMT

I don't think anyone outside of universities, pharma and biotech, independent research institutions have any idea of what is happening right now. If you haven't sounded the alarm among your friends, family and colleagues, now is the time to do it.
https://cdn.masto.host/medmastodoncom/media_attachments/files/114/602/204/034/576/418/original/9d51507267d98ec4.jpeg

2025-04-02 00:12:28 GMT

Let’s be clear what this is: a political purge. And given the reassignments for staff, it is also punishment. This is worthy of the Soviets. https://apnews.com/article/health-human-services-layoffs-restructuring-rfk-jr-ec4d7731695e4204970c7eab953b2289

2025-03-09 21:16:33 GMT

Dave #Weldon is up for #CDC Director. His Senate hearings are on Thursday. He thinks vaccines cause autism, doubts the safety of MMR vaccines. CALL YOUR SENATORS: 202-224-3121. We have a call sheet here, with lists of Senators and a script to use: https://docs.google.com/document/d/1wwU1VqNIqzqn1r9Dan7-p9GJKpF0D3bEGc2Np_Zoa5s/edit?usp=sharing
https://cdn.masto.host/medmastodoncom/media_attachments/files/114/134/521/490/897/036/original/ba9b53c155ca9321.jpg

2025-03-03 15:39:25 GMT

Universities are under attack. While these institutions have joined lawsuits, done lobbying in DC, this is not enough. The endgame is clear: Trump, Musk and Vought want to destroy higher education in America. It's in Project 2025 and it's part of the authoritarian's playbook everywhere. We need real leadership, collective action, from presidents and trustees. https://www.thenation.com/article/society/trump-universities-research-cuts-reaction/

2025-02-26 12:40:15 GMT

Call your members of Congress in both houses. Today. Every day. Do it again. Get your friends and family involved.
https://cdn.masto.host/medmastodoncom/media_attachments/files/114/070/231/403/778/872/original/95b4efd81a64594f.png

2025-02-25 10:42:31 GMT

Russell Vought & his ex-wife Mary have a daughter with cystic fibrosis, who is being treated with elexacaftor/tezacaftor/ivacaftor, drugs developed with the support of the National Institutes of Health. Now Russ & Mary are trying to destroy the agency. https://www.motherjones.com/politics/2025/02/project-2025-vought-medical-funding/

2025-02-17 10:55:42 GMT

#Trump, #Musk, #Vought are destroying NIH. What they are creating is a rump-institution that kills research on health disparities by banning grants on words like race, gender, equity etc. They are also creating a whites-only future for research by banning DEI initiatives, which will have its desired effect of reducing the number of black and brown students, post-docs and scientists in biomedical research in the US. My latest for @npub12kg…tc6q. https://www.thenation.com/article/archive/trumps-plan-to-defund-the-nih-will-ruin-a-national-treasure/

2025-01-07 14:30:51 GMT

Buh-bye #Threads. Mark Zuckerberg is a disgrace. I'll delete my account later today. Urge others to do as well. Spread the word. https://www.nytimes.com/live/2025/01/07/business/meta-fact-checking

2024-12-27 22:06:23 GMT

“Based on current medical trends and expected advancements, we conclude that COVID-19 is still driving excess mortality both directly and indirectly.” https://www.swissre.com/institute/research/topics-and-risk-dialogues/health-and-longevity/covid-19-pandemic-synonymous-excess-mortality.html

2024-12-27 11:50:05 GMT

Because who doesn't love a good simulation of measles vaccination and herd immunity? https://www.theguardian.com/society/ng-interactive/2015/feb/05/-sp-watch-how-measles-outbreak-spreads-when-kids-get-vaccinated

2024-12-20 13:45:48 GMT

Here we go folks. This is our future. RFK Jr. isn't even installed yet and vaccine denialism is erupting...
https://www.npr.org/sections/shots-health-news/2024/12/20/nx-s1-5223440/louisiana-ban-public-health-promoting-covid-flu-mpox-vaccines-landry-rfk-jr-anti-vaccine

2024-12-17 10:40:12 GMT

RFK Jr. has bragged that he’d tell researchers at the National Institutes of Health to give “infectious disease a break for about eight years.” Well, he isn’t giving infectious disease a break but leading its promotional tour. If this man gets what he wants, old scourges will be back with a vengeance. My latest for the Nation. https://www.thenation.com/article/society/rfk-jr-is-giving-polio/

2024-12-15 11:54:47 GMT

OK. How did I miss this? This how you do it. You meet hate and ignorance with joy and love and a little bit of civil disobedience. https://msmagazine.com/2024/12/05/trans-bathroom-ban-capitol-hill-congress-dance-party/

2024-12-13 11:49:55 GMT

And now this. My father had polio when he was a child in the 1930s. He thankfully survived. Many did not. This is, well, evil. Let's not mince words. https://www.nytimes.com/2024/12/13/health/aaron-siri-rfk-jr-vaccines.html

2024-12-13 11:04:13 GMT

So in November, there were a few Democrats (e.g., Polis, Booker), some pundits (e.g. Wen, Oster, Bedard) doing the maybe-he's-got-a-point-two-step with RFK Jr. How's your guy doing now? It was a mistake to indulge him then and still is now. https://www.reuters.com/world/us/trump-discuss-ending-childhood-vaccination-programs-with-rfk-jr-2024-12-12/

2024-12-11 11:51:41 GMT

Wisdom.
https://cdn.masto.host/medmastodoncom/media_attachments/files/113/634/042/549/391/205/original/34766768c520a789.jpg

2024-11-28 18:03:57 GMT

There are choices we get to make. How do we want to be remembered at this moment in history? It’s easy to surrender. It’s harder to fight. End/

2024-11-23 19:15:41 GMT

Jerome Adams was Trump's Surgeon General in his first term. I tangled with him when he was Commissioner of Health in Indiana over their HIV outbreak there. BUT, once he left the administration, he's been talking more sense than most Trump or Biden officials, on needle exchange, COVID and now RFK Jr.
https://cdn.masto.host/medmastodoncom/media_attachments/files/113/533/866/763/093/123/original/7c3842bd496ae377.png

2024-11-17 21:05:20 GMT

“Totalitarianism in power invariably replaces all first-rate talents, regardless of their sympathies, with those crackpots and fools whose lack of intelligence and creativity is still the best guarantee of their loyalty.” https://hac.bard.edu/amor-mundi/a-carnival-of-destruction-2024-11-17#:~:text=It%20is%20for%20this%20reason,best%20guarantee%20of%20their%20loyalty.%E2%80%9D

2024-11-17 13:27:15 GMT

How to survive the broligarchy: 20 lessons for the post-truth world.
https://www.theguardian.com/commentisfree/2024/nov/17/how-to-survive-the-broligarchy-20-lessons-for-the-post-truth-world-donald-trump

2024-11-16 16:58:31 GMT

RFK Jr.'s involvement in this tragedy needs to be more widely known. https://www.telegraph.co.uk/news/measles-in-samoa/

2024-11-16 16:57:26 GMT

RFK Jr. championed a Samoan anti-vaxxer tied to the 2019 lethal eruption that killed scores of children. https://www.motherjones.com/politics/2024/07/how-rfk-jr-falsely-denied-his-connection-to-a-deadly-measles-outbreak-in-samoa/

2024-11-16 01:53:19 GMT

“We forget what this country was like 50 years ago – how many children died every year from polio, pertussis, measles.
We’re going to see the return of diseases we have controlled for decades and with that many additional severe illnesses in hospitals and deaths – and that’s just from the rhetoric, not even withdrawing vaccines.”
-Dr Michael Osterholm, the director of the Center for Infectious Disease Research and Policy at the University of Minnesota.

2024-11-16 00:41:00 GMT

It's a profanity-laden piece, but absolutely true. https://defector.com/what-the-fuck-is-a-vaccine-skeptic

2024-11-15 00:17:30 GMT

Thanks to Ben Mazer for calling out the sanewashing of RFK Jr. in the Atlantic. Emily Oster, Leana Wen and Ashish Jha should be ashamed of themselves; in a clear act of self-promotion to assert their relevance in this new era, they've decided that indulging this man is good for their own careers. https://www.theatlantic.com/health/archive/2024/11/rfk-jr-hhs-sanewashing/680663/

2024-11-12 13:48:58 GMT

My latest for The Nation on public health under Trump, whether or not RFK Jr. takes a formal post or remains as an unofficial advisor. Reckless. Conspiracy-addled. Know-nothing. We need to get ready. https://www.thenation.com/article/archive/future-of-public-health-under-trump/

2024-11-09 14:52:57 GMT

Under the new administration, we are likely to see significant attacks on core public health functions in the United States. We need to organize coast-to-coast to figure out how to stem the damage and keep our communities safe and healthy. https://forms.gle/jSLhZXmma4YihfFH6

2024-11-09 00:27:59 GMT

A quite amazing crew of epidemiologists, physicians, nurses, other public health and clinical experts assembled during COVID to fight back against bad policy and misinformation starting in 2020. Well, we're putting the band back together.
https://cdn.masto.host/medmastodoncom/media_attachments/files/113/450/159/104/953/092/original/ef0da578d33a4cdb.jpeg

2024-11-06 13:46:57 GMT

There has always been this. No matter the year, the decade, the century, there is a man ready to rub someone into the dirt with the heel of his shoe for power. And yet. There are those who refuse to submit, who will take your hand and say come, let’s move forward together.

2024-11-06 00:19:50 GMT

I have a case of...high anxiety. https://www.youtube.com/watch?v=heLBlQgMfo8

2024-11-03 14:19:10 GMT

Did you submit a mail-in or absentee ballot? Check the status of your vote here. If it hasn't been received and process, contact your local election officials. https://www.vote.org/ballot-tracker-tools/

2024-11-02 13:43:38 GMT

So this comic-book guide to Project 2025 is fantastic. Boils the BS down to its essentials. https://stopproject2025comic.org/?fbclid=IwY2xjawGTCyBleHRuA2FlbQIxMAABHd6ZfJc-hywCN0ltFtB2-AQgoh6TAFe4lgwlQDytyetyitFesMcpwCvJ_w_aem_s1UaS3AYRCE_0HLT8mwywg

2024-10-31 12:42:45 GMT

The headline underplays the radical proposals on the table from the Trump team: "How Public Health Could Be Recast in a Second Trump Term--Breaking up the C.D.C., moving funds from the N.I.H. — conservatives have floated changes should Mr. Trump regain office."
https://www.nytimes.com/2024/10/31/health/trump-kennedy-health.html

2024-10-28 22:07:38 GMT

This was true when it was written and it is true today. It’s a dilemma for many of us. https://www.thedailybeast.com/fascism-runs-in-my-american-family

2024-10-27 13:00:34 GMT

Artist: Ralph Lazar. https://ralphlazar.com/art/304-do-not-obey-in-advance/
https://cdn.masto.host/medmastodoncom/media_attachments/files/113/379/506/974/142/265/original/60e8367c17a31862.webp

2024-10-27 12:46:55 GMT

My Yale colleague Timothy Snyder on not obeying in advance, the decision of the wealthy and powerful, including the owners of the Washington Post and LA Times to capitulate now and what it means for the rest of us. https://snyder.substack.com/p/obeying-in-advance?r=dwh6t&utm_campaign=post&utm_medium=web&timestamp=219.9&triedRedirect=true

2024-10-25 18:28:03 GMT

The #WashingtonPost and #LATimes will go down in infamy for their cowardly decisions to forgo a presidential endorsement this year. Let’s be clear. This is appeasement of authoritarianism. It is obeying in advance. It is cowardice.

2024-10-19 01:14:15 GMT

We should be alarmed by how unalarmed we are about a second Trump Administration. https://www.weekendreading.net/p/sleepwalking-our-way-to-fascism

2024-10-14 00:20:54 GMT

I’ve been waiting for the New York Times to post the story on its homepage about Donald Trump‘s call to have the military deal with internal enemies the past few hours even if it’s shown up in other media. I am still waiting.

2024-10-12 18:15:34 GMT

"How much deception can we accommodate before we lose our self-understanding as responsible citizens? How do the lies change us?" https://lithub.com/the-evolution-of-the-political-lie-david-bromwich-on-hannah-arendt-and-complicity/

2024-10-12 00:10:18 GMT

“In the dark times
Will there also be singing?
Yes, there will also be singing.
About the dark times”
—Bertolt Brecht

2024-10-09 12:30:49 GMT

What a difference a state makes. https://prospect.org/politics/2024-10-07-chasm-between-oklahoma-connecticut/

2024-10-04 12:37:13 GMT

This was very hard to write. I'm at Stanford this fall with a group of researchers that I admire tremendously and cherish as colleagues. But Stanford, Johns Hopkins and now Emory are boosting COVID conspiracy theories and misinformation by hosting these gatherings, even if the organizers did back them into a corner. https://www.thenation.com/article/society/stanford-covid-symposium-misinformation/

2024-09-29 12:33:32 GMT

Oh my god, this op-ed by Mark Seidner and Rochelle Walensky is fire. They call for a"new mandate for global drug and vaccine development research in low- and middle-income settings that requires a licensing, manufacture, pricing, and distribution plan prior to the conduct of trials. Should a trial show benefit, the local population would be ensured access on a pre-specified timeline."
Free link in comments. https://www.statnews.com/2024/09/18/lenacapavir-cabotegravir-hiv-aids-clinical-trials-africa/

2024-09-27 14:45:03 GMT

Thanks to [@yalesph](https://bird.froth.zone/users/yalesph ) for covering the launch of our new project (with Josh Warren and David Paltiel). https://ysph.yale.edu/news-article/ysph-researchers-launch-major-initiative-to-improve-hiv-outbreak-detection-among-people-who-use-drugs/

2024-09-27 01:40:19 GMT

This broke my heart. https://www.bbc.com/news/articles/cz9py388z17o

2024-09-26 12:46:02 GMT

Can't believe I had to write this. But given the upswing in anti-vax sentiment in the US and the low vaccination rates for COVID and flu (and the under-vaccination of kids for some infections), it has to be said loud and clear. Vaccines work. Get yours today. https://www.thenation.com/article/society/vaccines-work/

2024-09-15 03:24:47 GMT

So Trump and Vance are inciting violence, stochastic terrorism to be more exact, in Springfield, OH. All this is being covered as just another of Trump’s “upending norms”. Schools and hospitals have shuttered due to bomb threats. What has to happen for the press to wake up and call this what it is?

2024-09-13 16:13:03 GMT

I need to vent. This racist is spreading lies about HIV and Haitians like it's the 1980s, AND when he went back to Ohio after Yale Law School, started a sham charity to fight the opioid epidemic (which has resulted in, well, guess what? HIV outbreaks including in OH). He has not one single shred of human decency. https://www.advocate.com/election/jd-vance-haitian-hiv-stigma

2024-09-13 00:39:51 GMT

I cannot even believe this misinformation coming out of the Florida Department of Health. This is just beyond the pale. They are discouraging the use of mRNA COVID vaccines. This is beyond irresponsible. It is malpractice.
https://content.govdelivery.com/accounts/FLDOH/bulletins/3b56786

2024-09-08 14:43:39 GMT

Today in 1854, the pump handle was removed from the water spigot in Soho, London, the site of a terrible cholera outbreak. The sleuthing that led to this intervention really represents the birth of modern epidemiology. H/T Peter Tennant https://www.themarginalian.org/2011/08/26/the-ghost-map-steven-johnson/

2024-09-06 19:41:04 GMT

My latest for The Nation. The Mpox Outbreak Is a Damning Indictment of the Global Health System: the inequalities and injustices in our medical infrastructure have made the outbreak so much worse than it could have been. https://www.thenation.com/article/world/mpox-outbreak-2024-explainer/

2024-08-20 20:39:44 GMT

Remember these words from Joan Didion over the next few weeks.
https://cdn.masto.host/medmastodoncom/media_attachments/files/112/996/275/796/385/320/original/c62674f6f4d23ec8.png

2024-08-09 13:19:32 GMT

Live from New York.
https://cdn.masto.host/medmastodoncom/media_attachments/files/112/932/262/074/598/637/original/5eb10e67e1196293.jpg

2024-08-09 00:54:04 GMT

Hi, reporters and editors. The Trump campaign was gonna roll with the architects of swiftboating and told you so two years ago. Yet, you embrace this garbage again and again. Seems like you like it. This is on you now. @npub180j…22v6 @npub14hg…w7dc @npub1dt0…vl75 [@nytimes](https://news.twtr.plus/users/nytimes )
https://cdn.masto.host/medmastodoncom/media_attachments/files/112/929/216/458/582/270/original/7e1da54aa08509ba.png

2024-08-07 22:17:16 GMT

In 2017, Trump was considering cuts to indirect costs to universities. If you don't know how research works, "indirects" support the basic infrastructure that makes science possible. What happens? Deep faculty cuts. Less research. Bad for science. Get organized. #science #medicine #publichealth
https://orgchart.mit.edu/letters/message-trump-administration-proposal-indirect-costs