Bram Sable-Smith's Avatar

Bram Sable-Smith

@realbrambo

Writing about abortion, guns, insulin, trans health care and the Midwest for KFF Health News Signal: Brambo.11

531
Followers
263
Following
160
Posts
30.08.2023
Joined
Posts Following

Latest posts by Bram Sable-Smith @realbrambo

Preview
Six federal scientists run out by Trump talk about the work left undone | CNN Federal data shows the NIH lost about 4,400 people — more than 20% of its workforce. Scientists say the departures harm the U.S.’ ability to respond to disease outbreaks, develop treatments for chroni...

The number of people employed at the NIH is at its lowest level in at least two decades.

Hear from six scientists run out by Trump and the work they left behind on cancer research, tick-borne diseases, and more.

Me + @k-hought.bsky.social @kffhealthnews.org for @cnn.com www.cnn.com/2026/03/05/h...

05.03.2026 13:06 👍 28 🔁 22 💬 1 📌 4

Services at risk include: 24/7 care that allows a 39-year-old with cerebral palsy to live independently; the in-home caregiving that lets a 26-year-old with brain damage stay in his family home; and private duty nursing for a 19-year-old with cerebral palsy who has qualified for hospice care.

02.03.2026 23:33 👍 0 🔁 1 💬 0 📌 0

NEW: Most of the Medicaid cuts passed by congressional Republicans last year don't take effect until after the midterms, but the Trump's signature law is already squeezing state Medicaid programs.

In Idaho, one service on the possible chopping block is home care for people with disabilities.

02.03.2026 15:38 👍 15 🔁 11 💬 1 📌 1
Preview
What Newly Released Medicaid Data Do and Don’t Tell Us | KFF On February 14, 2026, CMS released a dataset with provider-level spending data that the agency suggests could be used to identify unusual billing patterns for specific services, states, or providers. ...

I’m always for more data. But, be careful using the new Medicaid spending data released by the Trump administration. It’s missing a lot of important details and context.
www.kff.org/medicaid/wha...

20.02.2026 17:06 👍 22 🔁 12 💬 0 📌 2
Preview
Trump and states in a tug of war over insurance and AI Both red and blue states are fighting against the use of artificial intelligence in health insurance determinations — but Trump disagrees.

Trump wants to deregulate AI, especially in healthcare. Red states and blue states alike, want to curb AI in health insurance. Here's a new battlefield:

www.usatoday.com/story/tech/2...

My latest, with Lauren Sausser, for @usatoday.com/@kffhealthnews.org

18.02.2026 14:09 👍 11 🔁 6 💬 1 📌 0
Is MAHA the New MAGA?
Is MAHA the New MAGA? YouTube video by KFF Health News

Republicans are hitching themselves to MAHA, hoping it will give an electoral bounce in the midterms.

youtu.be/Vy_5EAqdbHs

10.02.2026 13:41 👍 0 🔁 0 💬 0 📌 0
Preview
Public Health Workers Are Quitting Over Assignments to Guantánamo - KFF Health News U.S. Public Health Service doctors and nurses are being deployed to Guantánamo and other detention centers as President Donald Trump escalates mass arrests in his campaign to curb immigration. Some ha...

Uniformed health workers have been deployed to President Donald Trump’s secretive immigration operation at Guantánamo Bay. They describe a dark prison and limits on medical care.

@amymaxmen.bsky.social investigates ⤵️

09.02.2026 14:59 👍 27 🔁 23 💬 1 📌 1
Post image

President Trump is suggesting here that people could use government subsidies to buy insurance that doesn’t comply with ACA rules, including coverage of pre-existing conditions. That could lower costs for healthy people, but send the ACA marketplace into a death spiral.

15.01.2026 17:10 👍 78 🔁 33 💬 8 📌 11
Post image

If I'm reading Missouri Gov's budget correctly, complying with the One Big Beautiful Bill will cost almost $295 million

13.01.2026 22:33 👍 0 🔁 0 💬 0 📌 0
Preview
4 monkeys are on the loose in north St. Louis. Animal control is on the hunt. The animals were seen by residents Thursday afternoon on Red Bud Avenue in the O'Fallon neighborhood.

Roses are Red,
Violets are clueless,
4 monkeys are on the loose in north St. Louis

09.01.2026 20:59 👍 0 🔁 0 💬 0 📌 0

Hi Ben, I'm interested in hearing more. Shoot me a note if you're open to chatting: brams@kff.org

23.12.2025 19:49 👍 0 🔁 0 💬 0 📌 0
Preview
It's the 'gold standard' in autism care. Why are states reining it in? Budget shortfalls and nearly $1 trillion in looming federal Medicaid cuts have prompted states to rein in spending on a widely embraced autism therapy, pinching families who depend on the services.

NEW: While so much attention is being paid to possible *causes* of autism, states are starting to cut funding on *treatment* for kids who already have it.

I wanted to know why.

Read my latest with @arjonesreports.bsky.social

www.npr.org/sections/sho...

23.12.2025 13:00 👍 20 🔁 10 💬 3 📌 0

Just wait. Gary, Indiana goes all out

21.12.2025 02:22 👍 3 🔁 0 💬 0 📌 0

so head scratchingly out of left field and unimportant to the plot that I have to wonder if it’s somehow load bearing and the whole incredible film somehow collapses without it

17.12.2025 22:52 👍 0 🔁 0 💬 0 📌 0
Preview
Longtime Columbia resident to be deported after sudden court transfer Owen Ramsingh will be sent to the Netherlands after monthslong stays in detention facilities with unfit conditions.

www.columbiamissourian.com/news/local/l...

11.12.2025 17:47 👍 2 🔁 0 💬 0 📌 0

My latest for NPR.

Send us your health care headaches and we'll send our sleuths out to puzzle through it so you don't have to: www.npr.org/2025/08/21/g...

30.10.2025 21:16 👍 1 🔁 0 💬 0 📌 0
Post image

Ready for Halloween!

30.10.2025 21:00 👍 0 🔁 0 💬 0 📌 0

There are two different KFF numbers about the ACA out there. Both are accurate, but mean different things.

114%: The average increase in out-of-pocket premiums if enhanced tax credits expire.

26%: The average increase in what insurers are charging for benchmark ACA plans.

29.10.2025 20:01 👍 25 🔁 17 💬 3 📌 1

We estimate the average ACA enrollee will see their out-of-pocket premium increase by 114%. But, it will vary a lot based on age, income, family size, and zip code. I'd be interested in what you're seeing if you're an ACA enrollee and log on to the marketplace. Please reply here.

29.10.2025 19:01 👍 13 🔁 10 💬 2 📌 1

When is the point of no return for extending ACA tax credits?

They expire 12/31, so that’s a drop dead date.

Open enrollment starts November 1. If they’re not extended by then, enrollees may start dropping out. Even if open enrollment is extended, people could be hard to reach.

20.10.2025 17:33 👍 121 🔁 64 💬 11 📌 1
KFF bar chart graphic titled "About 4 in 10 Parents Support the MAHA Movement, Including 8 in 10 MAGA Republican Parents." Data shows varying levels of support across different demographics including party ID, race/ethnicity, education, age, and gender. Key insights include higher support among Republicans and lower support among Democrats and Independents. Presented by KFF/The Washington Post, dated July 18-August 4, 2025.

KFF bar chart graphic titled "About 4 in 10 Parents Support the MAHA Movement, Including 8 in 10 MAGA Republican Parents." Data shows varying levels of support across different demographics including party ID, race/ethnicity, education, age, and gender. Key insights include higher support among Republicans and lower support among Democrats and Independents. Presented by KFF/The Washington Post, dated July 18-August 4, 2025.

Who are MAHA parents?

The breakdown from our poll with the @washingtonpost.com: on.kff.org/477Oo5L

15.10.2025 15:46 👍 4 🔁 2 💬 0 📌 0
KFF graphic showing about a quarter (27%) of farmers, ranchers, and agricultural managers got health insurance through the individual market in 2023.

KFF graphic showing about a quarter (27%) of farmers, ranchers, and agricultural managers got health insurance through the individual market in 2023.

KFF analysis finds 27% of farmers, ranchers, and agricultural managers got health insurance through the individual market in 2023, which is mostly (over 90%) made up of the ACA Marketplaces.

🔗: https://on.kff.org/46A1Crt

07.10.2025 18:11 👍 11 🔁 5 💬 0 📌 0
Preview
States Are Cutting Medicaid Provider Payments Long Before Trump Cuts Hit - KFF Health News North Carolina and Idaho are cutting their Medicaid programs to bridge budget gaps, raising fears that providers will stop taking patients and that hospitals will close even before the brunt of a new ...

"We are hurting ourselves in North Carolina way ahead of the game, way before we need to do this," NC's former Chief Medical Officer told me.

Reporting w/ @realbrambo.bsky.social for @kffhealthnews.org

kffhealthnews.org/news/article...

22.09.2025 20:19 👍 0 🔁 1 💬 0 📌 0
Preview
‘Sick to My Stomach’: Trump Distorts Facts on Autism, Tylenol, and Vaccines, Scientists Say - KFF Health News The White House’s autism announcement exaggerates links to Tylenol, misleads on vaccines, and sets back the field by ignoring decades of research, scientists say.

🚨 "Sick to my stomach."

That's how the researcher who found a link between Tylenol and autism felt when she realized MAHA would link her analysis to vaccines.

My latest exclusive @kffhealthnews.org
kffhealthnews.org/news/article...

23.09.2025 02:47 👍 100 🔁 49 💬 3 📌 3
Preview
States Are Cutting Medicaid Provider Payments Long Before Trump Cuts Hit - KFF Health News North Carolina and Idaho are cutting their Medicaid programs to bridge budget gaps, raising fears that providers will stop taking patients and that hospitals will close even before the brunt of a new ...

NEW: Trump's signature legislation is cutting $1 trillion from Medicaid. But even before those cuts hits, states are slashing their programs.

It's already making it harder for one North Carolina mom to find care for her disabled son
w/ @sjtribble-reports.bsky.social

22.09.2025 16:35 👍 1 🔁 1 💬 0 📌 0
Patient Numbers at NIH Hospital Continue To Decline Under Second Trump Administration
Patient Numbers at NIH Hospital Continue To Decline Under Second Trump Administration YouTube video by KFF Health News

We previously reported that the number of people receiving treatment at the National Institutes of Health Clinical Center - known as America's research hospital - declined from February-April.

Since then, I obtained newer data through mid-August. And it's gotten worse. youtube.com/shorts/yT5Vc...

05.09.2025 19:26 👍 56 🔁 30 💬 2 📌 3
Post image

The Trump administration announces it is making "affordable" ACA plans available to certain groups of people, including those who lose eligibility for tax credits slated to expire at the end of the year.

These plans have lower premiums, but deductibles of over $10,000.
www.cms.gov/newsroom/pre...

04.09.2025 13:40 👍 9 🔁 6 💬 2 📌 1

NEW: Feel like you're reading more about hospitals fighting with insurers and even stranding patients out of network?

It's not your imagination. Almost 1 in 5 hospitals had a brawl with an insurer in the past 4 years.

Trump admin cuts mean we're likely to see even more...

02.09.2025 21:03 👍 12 🔁 6 💬 0 📌 0

Just heard a guy on the beach say “Microsoft Teams.” This is unacceptable.

22.07.2025 15:48 👍 204 🔁 11 💬 10 📌 0
Preview
World’s premier cancer institute faces crippling cuts and chaos | CNN The Trump administration’s broadsides against scientific research have caused unprecedented upheaval at the National Cancer Institute, the storied federal government research hub that has spearheaded ...

"It's a crap show"

"People will die"

The Trump administration’s broadsides against scientific research are causing unprecedented upheaval at the National Cancer Institute, which has spearheaded advances against the disease for decades. Me + @arthurallen202.bsky.social

www.cnn.com/2025/07/08/h...

08.07.2025 13:54 👍 82 🔁 42 💬 2 📌 4