Travis Joesph

hiv-hcv-watch.comI Didn’t Plan for Advocacy or Gratitude, Yet Here They Are — HIV-HCV Co-Infection WatchThanksgiving has always been a bit of a mixed bag for me, not in a tragic or dramatic way, but in that specific way you get when you grow up loving the holiday  and  growing up in the church...

2 Dec 2025

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

tjoe.coErnest Manint Memorial Fund | Supporting At-Risk Youth Through One Way LoveHonor 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...

5 June 2025

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

5 June 2025

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

buff.lyCMS Creates Regulatory Vacuum in 340B Drug Pricing: Why Federal Claims Modifiers Are EssentialCMS's refusal to mandate claims modifiers for 340B transactions enables billions in duplicate discounts while threatening safety-net providers. CANN analyzes the policy failure and advocates for federal leadership to protect vulnerable patients.

3 June 2025

My latest analysis for CANN

Community Access National Network (CANN)@handle.invalid

NEW ANALYSIS: CMS draft guidance creates a dangerous regulatory vacuum in 340B drug pricing.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

open.substack.comRFK Jr's Budget Testimony Reveals Concerning Vision for America's Healthcare Safety NetRFK 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.

26 May 2025

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

tjoe.coThe Largest Upward Transfer of Wealth in American HistoryHouse Republicans voted to advance a bill that would offer lavish tax cuts for the rich while slashing benefits for the poor.

24 May 2025

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

tjoe.coAntibiotic Crisis: Hope Amid Institutional DeclineAntibiotic-resistant STIs are outpacing new treatments. But even our best breakthroughs can’t outrun political sabotage.

19 May 2025

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

14 May 2025

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.

tjoe.coThe High Cost of Middlemen MedicineWhy patients pay more while hospital systems and middlemen cash in on America’s broken drug market.

12 May 2025

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

tjoe.coMapping Injustice: Redlining's Legacy in HIV Treatment DelaysAs political attacks target health equity research, new evidence shows discrimination from the past continues to shape treatment outcomes today

5 May 2025

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

2 May 2025

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.

2 May 2025

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

fentanylawarenessday.orgNational Fentanyl Awareness DayA day of action to raise public awareness about an urgent problem: illegally made fentanyl. Join our effort.

29 Apr 2025

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

28 Apr 2025

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

28 Apr 2025

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

26 Apr 2025

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

reuters.comUS at tipping point for return of endemic measlesAt 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.

25 Apr 2025

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...

23 Apr 2025

Y’all need to stop 😭💀

nytimes.comTesla Profits Drop 71% Amid Backlash to Elon Musk’s Role Under TrumpThe carmaker reported the sharp decline in quarterly earnings after Tesla’s brand suffered because of its chief executive’s role in the Trump administration.

22 Apr 2025

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

21 Apr 2025

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.

tjoe.coSystem Failure: Inside the Collapse of HIV Data ProtectionsA sweeping purge of federal IT staff and unchecked data grabs are unraveling HIV privacy protections—threatening care, safety, and public trust.

21 Apr 2025

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

nytimes.comTrump Declares Lab Leak as ‘True Origins’ of Covid on New WebsiteGovernment websites that once provided basic information about the virus now redirect to a page citing a number of misleading or heavily contested claims.

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

6/7 When Trump talks about “economic security,” what he really means is authoritarian control of markets, media, memory, and minds. Replacing Covid.gov with propaganda isn’t just cynical. It’s a blueprint. #FascismWatch #DigitalCoup

covid.govLab Leak: The True Origins of Covid-19THE ORIGIN “The Proximal Origin of SARS-CoV-2” publication — which was used repeatedly by public health officials and the media to discredit the lab leak

7/7 The lab leak site isn’t about Covid. It’s about justifying power grabs, erasing history, and building a permission structure for whatever he does next. Don’t get distracted by Fauci. Watch the empire being assembled. #CovidSky #PoliSky #StayLoud

4/7 Yesterday it was an op-ed. Tonight it’s policy. They erased public health infrastructure and replaced it with a disinformation hub. What’s next? A new Department of Retcon? #CovidCon #LabLeakLies #HealthDisinfo

5/7 The NYT reporting makes clear: -- No new evidence -- Misleading claims -- Old conspiracy theories rebranded as fact This is how the regime manufactures truth. One deletion, one domain, one redirection at a time. #MediaLiteracy #CovidSky

2/7 This is not about Fauci. It never was. He’s just convenient collateral. The real move is escalating a trade war with China—backed by conspiracies, state-controlled messaging, and the rebranding of a global tragedy into a conspiratorial fever dream. #TradeWar #Authoritarianism

3/7 Covid is now a justification engine. For tariffs. For sanctions. For nationalizing tech. For framing economic collapse as patriotic necessity. It’s not about public health—it’s about political economy and power. #EconSky #China

#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

7/8 Let’s be real—this fever dream op-ed is also a distraction. While we chase Fauci ghosts, Trump is actively tanking the economy. His tariff tantrums are isolating the U.S. from global markets. #EconSky #PoliSky #TradePolicy #DistractionPolitics

17 Apr 2025

8/8 The U.S. is no longer seen as a stable place to put capital. Trump’s authoritarian chaos, policy whiplash, and grudge-based governance have shredded our economic credibility. That’s the real crisis that will be fucking us for generations. #EconomicSecurity #PublicTrust #LeadershipLoss @wsj.com

5/8 This is about silencing scientists, rewriting history, and blaming China to justify domestic authoritarianism. “Lab-leak” is a smokescreen. The real agenda is control and the fleecing of the 99%. #PoliSky #MediaCritique #HealthJustice

17 Apr 2025

6/8 @wsj.com has platformed dangerous revisionism. This isn’t a debate about origins—it’s a power grab dressed in scientific drag. Don’t be fooled. #Resist #SciPol #PublicHealth #TruthMatters #Fauci

3/8 They invoke Fauci like he’s Voldemort. The claim? That NIH secretly caused the pandemic via gain-of-function research. Fact? That’s been debunked. Over and over. But who needs facts when you’ve got fascist fantasy and a Dear Leader to fellate? @wsj.com #HealthPolicy #Covid #StopTheLies

17 Apr 2025

4/8 Trump’s role? In this op-ed, he’s cast as global truth-seeker. In reality, he disbanded pandemic teams, spewed bleach cures, undermined public health and his own vaccine development, and called COVID a hoax while hundreds of thousands of Americans died. #PublicHealth #CovidSky #Accountability

2/8 This isn’t journalism. It’s right-wing grievance cosplay. “Declassify the truth”? Try declassifying where you put your goddamn moral compass. No evidence, just innuendo. No science, just retribution. #SciComm #CovidTruth #PoliSky #DisinfoWatch

tjoe.coMixed Signals: Trump's Drug Policy Undermines Its Own GoalsWhat do you get when you combine performative punishment, gutted health agencies, and a wellness farm fantasy?

14 Apr 2025

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

7 Apr 2025

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

7 Apr 2025

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

msnbc.comRachel Maddow: ‘Depression-era’: Man declared ‘dead’ by Social Security shares the cost of DOGE’s cutsQuestions about the agency’s future move beyond an anecdote here or there. The question now is how much Social Security can take before it stops working.

3 Apr 2025

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

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.

tjoe.coPDAB Chicanery: How Drug Affordability Boards Are Undermining Public EngagementPDABs say they’re helping patients. In reality, they’re muzzling public input and playing politics with life-saving medications.

2 Apr 2025

PDABs weren’t built to protect patients—they were built to look like reform. Now their sham processes mirror RFK Jr.'s gutting of public input at HHS. Different timelines, same result: patients excluded. tjoe.co/ls1fq8 #PDAB #HealthPolicy #HealthJustice #HIVsky

I do love cheese

Cory Booker has been filibustering for over 21 hours while our public health infrastructure is gutted in real time. Say what you want, but he's using the only tool he has—and it's more than most have done. Today, the CDC was hollowed out. Someone needed to stand the hell up. He did.

apnews.comCory Booker tops 21 hours in a Senate speech. Will it rally the resistance to Trump?New Jersey Democratic Sen. Cory Booker has pressed his marathon speech against President Donald Trump’s agenda for more than 21 hours and counting.

tjoe.coBreakthrough HIV Long Acting Injectables from CROI 2025 Face Access and Policy BarriersOne shot a year could transform HIV care. But unless we fix access and policy, these breakthroughs won’t reach those who need them most.

1 Apr 2025

ICYMI: CROI 2025 brought once-a-year HIV injectables. Meanwhile, the Trump admin fired the entire HHS HIV team. No joke—this is where we are. tjoe.co/2ep647 #HIVsky #PrEP #PublicHealth #HealthPolicy

@elizabethjacobs.bsky.social

1 Apr 2025

So the question today is: how hard is America's Penis™ going to fuck us this time? Of course I'm talking about the Florida special election. Cheeseville, too. MAKE GOOD CHOICES.

Travis Joesph reposted

Elizabeth Jacobs, PhD

31 Mar 2025

Started/Going. Two infants died of pertussis in Louisiana, where last month the state’s surgeon general banned health department staff from encouraging vaccination.