Atul Gawande's Avatar

Atul Gawande

@agawande

Surgeon, Writer ("Being Mortal," "Checklist Manifesto"), and formerly led Global Health @USAID.

30,104
Followers
296
Following
165
Posts
26.01.2025
Joined
Posts Following

Latest posts by Atul Gawande @agawande

Preview
Opinion | The Aftermath of Feeding America’s Credibility Into the Woodchipper

Vital read from @jeremykonyndyk.bsky.social in @nytimes.com

The closure of USAID & disregard for the human toll was the 1st step in a dark shift in US aspirations toward naked power and extractive self-interest. It's leaving the US friendless, isolated, and weaker. www.nytimes.com/2026/02/08/o...

08.02.2026 16:34 πŸ‘ 128 πŸ” 36 πŸ’¬ 3 πŸ“Œ 6
Post image Post image Post image Post image

My sister, Meeta, and I are heartbroken to report that our beloved mom, Sushila Goswami Gawande, a joyful force of nature and a pediatrician for three decades in Athens, Ohio, died on December 17. We will miss her dearly. Her obit describing her remarkable life: www.legacy.com/legacy/sushi...

24.12.2025 01:36 πŸ‘ 342 πŸ” 9 πŸ’¬ 50 πŸ“Œ 0
Preview
The fight to beat neglected tropical diseases was going well. 2025 could change that The campaign to prevent and treat these diseases has seen great success thanks to a USAID program. Now that program is gone.

Read to the end. NPR asked why the Trump team ended a low-cost program that cured millions of tropical diseases w drugs donated by pharma. The spokesperson replied with an NPR headlineβ€”β€œFarewell to USAID”—and said: β€œWhat do you think farewell meant?” www.npr.org/sections/goa...

11.12.2025 17:24 πŸ‘ 222 πŸ” 116 πŸ’¬ 20 πŸ“Œ 15

My wife, Kathleen: β€œIn the future, we will just be data. We will be just ones and zeroes. But I will be a one. Not a zero.”

01.12.2025 03:38 πŸ‘ 157 πŸ” 11 πŸ’¬ 8 πŸ“Œ 3
Preview
A Battle with My Blood When I was diagnosed with leukemia, my first thought was that this couldn’t be happening to me, to my family.

This is your must read this week.

Read this.

It is about leukemia and the powers and limits of science and the terrifying dangers of the turn against it. It is human and excoriating and beautiful. www.newyorker.com/culture/the-...

26.11.2025 00:15 πŸ‘ 174 πŸ” 36 πŸ’¬ 2 πŸ“Œ 2

We are witnessing a poisonous effort to destroy what the vast majority of Americans know is a key pillar of public health.

Vaccines are responsible for 40% of the reduction in child mortality achieved in the last half century.

20.11.2025 18:23 πŸ‘ 255 πŸ” 99 πŸ’¬ 3 πŸ“Œ 1

The CDC website has been lobotomized. Where it once presented the decades of evidence debunking the false claims of a link between vaccines and autism, that has now been replaced with junk science.

20.11.2025 18:23 πŸ‘ 394 πŸ” 136 πŸ’¬ 7 πŸ“Œ 8
How to break the hidden limits of expertise | Atul Gawande for Big Think+
How to break the hidden limits of expertise | Atul Gawande for Big Think+ YouTube video by Big Think

I spoke with @BigThink about why even the most experienced professionals need a coach β€” including surgeons. It’s one of the most under-utilized ways people improve.
Video: youtu.be/tW7ClAexgHI?...

19.11.2025 14:03 πŸ‘ 42 πŸ” 13 πŸ’¬ 1 πŸ“Œ 1
"Rovina's Choice" Shows How The Shutdown of U.S.A.I.D. Has Already Killed Hundreds of Thousands
"Rovina's Choice" Shows How The Shutdown of U.S.A.I.D. Has Already Killed Hundreds of Thousands YouTube video by The New Yorker

And here's a YouTube link. www.youtube.com/watch?v=Oj0P...

06.11.2025 22:36 πŸ‘ 541 πŸ” 172 πŸ’¬ 8 πŸ“Œ 8

See the film and my update on the ongoing, pointless, man-made loss of life here: bsky.app/profile/agaw...

06.11.2025 22:34 πŸ‘ 725 πŸ” 179 πŸ’¬ 2 πŸ“Œ 3
Post image

I helped make a film, out this week, called β€œRovina’s Choice,” about the deaths this man without conscience or accountability has caused β€” already 600,000, β…” of them children.

06.11.2025 22:34 πŸ‘ 7326 πŸ” 2304 πŸ’¬ 191 πŸ“Œ 163
"Rovina's Choice" Shows How The Shutdown of U.S.A.I.D. Has Already Killed Hundreds of Thousands
"Rovina's Choice" Shows How The Shutdown of U.S.A.I.D. Has Already Killed Hundreds of Thousands YouTube video by The New Yorker

Which is why we have made β€œRovina’s Choice.” We cannot let the people affected – the health workers like those at Clinic 7 and the families like Rovina Naboi’s β€” go unseen. And we cannot let the consequences go unaccounted for.

YouTube link: πŸŽ₯ 6/
youtu.be/Oj0PsaP2ZqQ?...

06.11.2025 12:41 πŸ‘ 154 πŸ” 61 πŸ’¬ 4 πŸ“Œ 1

We are experiencing what historian Richard Rhodes called β€œpublic man-made death.”

But the deaths will be harder to see than in war. They are scattered & unfold slowly. We have estimates, but official statistics will not come until 2027. 5/

06.11.2025 12:41 πŸ‘ 159 πŸ” 37 πŸ’¬ 3 πŸ“Œ 2
Post image

But now the gains are being reversed. In Kakuma Refugee Camp in Kenya, our team visited Clinic 7, where the sickest children come. After US aid ended, food supply fell to 40% of minimum needs, 2/3 of health workers were laid off, & sever malnutrition surged. 4/
www.impactcounter.com/dashboard?vi...

06.11.2025 12:41 πŸ‘ 91 πŸ” 23 πŸ’¬ 1 πŸ“Œ 1

Consider malnutrition. USAID helped countries shift care from hospitals to nearer home. Health workers with a scale & tape measure detect bad cases earlier. A peanut-paste therapy reversed starvation. Deaths fell from 20% to as little as 1%. It saved 1.2M lives in 2023. 3/

06.11.2025 12:41 πŸ‘ 102 πŸ” 30 πŸ’¬ 1 πŸ“Œ 2
Post image

My companion piece explains the film’s context: USAID’s dismantling is estimated to have already killed 600,000 people, β…” of them children. Officials simply deny any harm, while halting data monitoring and firing inspectors general who’d have documented it. 2/
www.impactcounter.com/dashboard?vi...

06.11.2025 12:41 πŸ‘ 208 πŸ” 86 πŸ’¬ 3 πŸ“Œ 6
Preview
The Shutdown of U.S.A.I.D. Has Already Killed Hundreds of Thousands The short documentary β€œRovina’s Choice” tells the story of what goes when aid goes.

Today @TheNewYorker released our short documentary β€œRovina’s Choice” online.

It traces the ongoing effects of the sudden shutdown of US foreign aid through the story of one mother in Kenya as she seeks to save her daughter from sickness and starvation. πŸŽ₯ 1/ www.newyorker.com/culture/the-...

06.11.2025 12:41 πŸ‘ 573 πŸ” 334 πŸ’¬ 12 πŸ“Œ 58

You could see where this was going before they even started. 7/

19.09.2025 13:46 πŸ‘ 107 πŸ” 5 πŸ’¬ 6 πŸ“Œ 0

It’s like seeing a surgeon about a curable cancer and focusing entirely on the potential harms of the surgery option without evaluating the potential harms of the no-surgery option. 6/

19.09.2025 13:46 πŸ‘ 155 πŸ” 14 πŸ’¬ 1 πŸ“Œ 2

Meanwhile they jettisoned CDC’s usual, careful process for grappling with risks of changes they’re voting for. ACIP did zero evaluation of harm, costs, or problems in implementation, while asking for an impossible standard for current vaccination practice. 5/

19.09.2025 13:46 πŸ‘ 88 πŸ” 10 πŸ’¬ 1 πŸ“Œ 1

Discussion went round in circles on CDC’s review of the strong evidence supporting current vaccine administration. Prompting this from member Retsef Levi: β€œI’m hearing a lot of β€˜there’s no evidence of harm.’... I think the question is β€˜Is there evidence of no harm?’” 4/

19.09.2025 13:46 πŸ‘ 78 πŸ” 9 πŸ’¬ 10 πŸ“Œ 5

Finally, an answer came back: we must make changes because trust in vaccines has decreased. β€œThe signal that is prompting this is not one of safety, but one of trust,” said member Robert Malone. 3/

19.09.2025 13:46 πŸ‘ 71 πŸ” 7 πŸ’¬ 3 πŸ“Œ 1

Liaison members from medical societies asked repeatedly: what is the reason for the votes to now change routine children’s vaccine schedules when there’s been no signal of harm and clear evidence of great benefit? 2/

19.09.2025 13:46 πŸ‘ 89 πŸ” 9 πŸ’¬ 1 πŸ“Œ 1

I watched the 1st meeting day of RFK Jr’s handpicked committee of vaccine advisors. It was utterly depressing. 1/

19.09.2025 13:46 πŸ‘ 371 πŸ” 109 πŸ’¬ 12 πŸ“Œ 10
Preview
Opinion | We Ran the C.D.C.: Kennedy Is Endangering Every American’s Health

9 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 the agency, and unlike anything our country has ever experienced." www.nytimes.com/2025/09/01/o...

01.09.2025 11:23 πŸ‘ 11853 πŸ” 5145 πŸ’¬ 322 πŸ“Œ 261
Video thumbnail

#freedc I returned from the wedding of our daughter to find the city where I have lived for the last 3 years in the midst of a military takeover.

The military policing Americans.

This is happening. It is a danger for everyone in our country. Now is the moment to turn out in protest.

11.08.2025 19:18 πŸ‘ 464 πŸ” 105 πŸ’¬ 10 πŸ“Œ 6
Preview
Opinion | Doctors Have Lost Their Mount Olympus of Medicine

Excellent read from @danielleofri.bsky.social on the reality for clinicians as NIH, CDC, FDA recs are put under political controls: β€œMedical professionals can no longer fully trust federal health guidance, and our patients are the ones who will suffer the most.” www.nytimes.com/2025/07/28/o...

28.07.2025 18:31 πŸ‘ 128 πŸ” 43 πŸ’¬ 1 πŸ“Œ 1
Preview
Opinion | JosΓ© AndrΓ©s: People of Good Conscience Must Stop the Starvation in Gaza

truly

www.nytimes.com/2025/07/27/o...

27.07.2025 12:30 πŸ‘ 174 πŸ” 50 πŸ’¬ 0 πŸ“Œ 1
Preview
Opinion | You May Not Be Trump’s Target This Time. But You Could Be Next.

They came for the foreign aid workers, justice department, public health institutions, universities and researchers, law firms, media organizations, not to mention longtime immigrants. Now it is nonprofits too. www.nytimes.com/2025/07/27/o...

27.07.2025 13:15 πŸ‘ 153 πŸ” 54 πŸ’¬ 7 πŸ“Œ 3
Preview
Bush, Obama β€” and singer Bono β€” fault Trump’s gutting of USAID on agency’s last day β€œGutting USAID is a travesty, and it’s a tragedy. Because it’s some of the most important work happening anywhere in the world,” Obama said.

Bono in a lyrical send off: β€œThey called you crooks/when you were the best of us/there for the rest of us./And don’t think any less of us/when politics makes a mess of us.” www.politico.com/news/2025/06...

01.07.2025 14:23 πŸ‘ 201 πŸ” 36 πŸ’¬ 2 πŸ“Œ 0