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Atul_Gawande's profile
Atul Gawande
Atul Gawande
Atul Gawande
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@Atul_Gawande

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Atul GawandeVerified account

@Atul_Gawande

Surgeon, Writer, Researcher, Dilettante. https://www.ariadnelabs.org/  http://www.lifebox.org/ 

atulgawande.com
Joined January 2011

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    Atul Gawande‏Verified account @Atul_Gawande 16 Dec 2017

    Atul Gawande Retweeted Neel Shah, MD

    Essential thread from @neel_shah at @AriadneLabs on the closure of obstetric units across America and the potential connection to our ranking among the worst in the developed world in maternal outcomes.https://twitter.com/neel_shah/status/941711142644277248 …

    Atul Gawande added,

    Neel Shah, MDVerified account @neel_shah
    1/ The ability to deliver babies should be a core service of every community hospital. Instead, growing numbers are closing their obstetric services. Why? https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2017.0338 … pic.twitter.com/g0znZUj0yY
    Show this thread
    5:52 AM - 16 Dec 2017
    • 292 Retweets
    • 348 Likes
    • Tim M Cheyenne Tobin Pokrzywa Aaren Dyer Grumps Isack Paul Msele はい私も。 YilinforTrump the traveler
    21 replies 292 retweets 348 likes
      1. New conversation
      2. Betsy Nicoletti‏ @BetsyNicoletti 16 Dec 2017
        Replying to @Atul_Gawande @neel_shah @AriadneLabs

        Nearly half of births are covered by Medicaid, and the rates paid to hospitals and physicians for prenatal care and delivery are too low. I would guess, lower than costs. We love Medicaid expansion, but how about increasing the rates!

        1 reply 0 retweets 8 likes
      3. Betsy Nicoletti‏ @BetsyNicoletti 16 Dec 2017
        Replying to @BetsyNicoletti @Atul_Gawande and

        And if anyone wonders why OBGYN doctors (and Peds) in rural areas are employed by hospitals for higher "provider based" rates, look no further than Medicaid rates. @Farzad_MD Needs to be addressed.

        0 replies 0 retweets 4 likes
      4. End of conversation
      1. New conversation
      2. Anne DiNoto‏ @DiNotoAnne 17 Dec 2017
        Replying to @Atul_Gawande @mbebinger and

        Yes, same can be said 4 mental health-psychologists & psychiatrists being fired...any research on this?

        1 reply 0 retweets 1 like
      3. Anne DiNoto‏ @DiNotoAnne 17 Dec 2017
        Replying to @DiNotoAnne @Atul_Gawande and

        This is happening in Cambridge MA

        0 replies 0 retweets 1 like
      4. End of conversation
      1. New conversation
      2. Jonathan‏ @JonathanFrogel 17 Dec 2017
        Replying to @Atul_Gawande @benshapiro and

        The elephant in the room is the med malpractice climate here that forces every obstetrician to practice defensive medicine- resulting in the highest c-section rates in the world. Bad for mothers- but good to keep trial lawyers at bay.

        1 reply 0 retweets 3 likes
      3. 1 more reply
      1. New conversation
      2. Philip A. Lederer MD‏ @philiplederer 16 Dec 2017
        Replying to @Atul_Gawande @neel_shah @AriadneLabs

        .Single payer needed. @PNHP @awgaffney

        1 reply 0 retweets 1 like
      3. Tony Hrvatska  🦃 🇭🇷 🇯🇪‏ @tonybalogna 16 Dec 2017
        Replying to @philiplederer @Atul_Gawande and

        Explain how single-payor would prevent this.

        0 replies 0 retweets 1 like
      4. End of conversation
      1. Steff Blake‏ @RecoveryMom88 16 Dec 2017
        Replying to @Atul_Gawande @neel_shah @AriadneLabs

        I think it has more to do with our overly invasive and technology based way of doing birth. More women are giving birth at home for this reason.

        0 replies 0 retweets 2 likes
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      1. QI Somalia‏ @IHQIP 16 Dec 2017
        Replying to @Atul_Gawande @neel_shah @AriadneLabs

        Layer that with existing racial ethnic health disparities in maternal health also, small example is coverage by @nprmontagne @npr @ProPublicahttps://www.npr.org/2017/12/07/568948782/black-mothers-keep-dying-after-giving-birth-shalon-irvings-story-explains-why …

        0 replies 0 retweets 2 likes
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      1. New conversation
      2. Mr. Autumn Man  🍁 🍂‏ @ccsont 16 Dec 2017
        Replying to @Atul_Gawande @neel_shah @AriadneLabs

        This is appalling. What can people do to help correct this?

        1 reply 0 retweets 2 likes
      3. 1 more reply
      1. Free American  🇺🇸‏ @BlueSTsurvival 17 Dec 2017
        Replying to @Atul_Gawande @benshapiro and

        Lawsuits, non-paying immigrants, Medicaid reimbursements rates.

        0 replies 0 retweets 1 like
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      1. LeroyXII‏ @LeroyXII 17 Dec 2017
        Replying to @Atul_Gawande @neel_shah @AriadneLabs

        Bet it has something to do with broken tort system.

        0 replies 0 retweets 1 like
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      1. Duncan Winn - Home in Iowa.‏ @WinnDuncan 16 Dec 2017
        Replying to @Atul_Gawande @benshapiro and

        It’s entirely in the way statistics are gathered here vs the rest of the world. They don’t count stillbirth as an infant mortality and we do.

        0 replies 0 retweets 1 like
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      1. Katie Brigham‏ @kbrigham78 16 Dec 2017
        Replying to @Atul_Gawande @neel_shah @AriadneLabs

        Yes these are #vulnerable populations #CDC7words

        0 replies 0 retweets 1 like
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      1. Dino William Ramzi‏ @dwramzimdmph 16 Dec 2017
        Replying to @Atul_Gawande @neel_shah @AriadneLabs

        This may be partly business, but also the fact that medicine cannot predict which pregnancy will require expensive technical help and which will be the most natural process of health man experience. So we medicalize everything. It becomes the standard of care.

        0 replies 0 retweets 1 like
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      1. Eric O Jonathan‏ @EricOJonathan1 17 Dec 2017
        Replying to @Atul_Gawande @neel_shah @AriadneLabs

        Saw your video on YouTube on having mentors to better yourself and the story of the mentoring of nurses in India to deliver babies. And particulary on the one case that saved a baby's life. That was BRILLIANT! Thank you! 👍

        0 replies 0 retweets 0 likes
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      1. Speak the truth‏ @BenJohnsonJnr 17 Dec 2017
        Replying to @Atul_Gawande

        @benshapiro @neel_shah @AriadneLabs of course, I mean, why deliver babies when you can kill them in the womb right?

        0 replies 0 retweets 0 likes
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