HeyJaredRobert B Shpiner
- Indexed articles, last 90 days
- 4
- Latest publication
- Aug 11, 2026
- Outlet visibility, for Guardian UK News
- Top 1K sites
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- Jul 16, 2026
Latest articles
Trumpâs vaccine order is about feelings, not facts | Robert B Shpiner (opens the original)
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Thereâs no evidence that vaccines cause autism, or that we should separate MMR shots. This order is dangerous âThis is based on what I feel.â That was the president last September, explaining why he wanted the measles, mumps and rubella (MMR) vaccine broken into three separate shots. On Monday, he signed an executive order instructing exactly that. Four decades in intensive care have taught me what a feeling costs once it becomes national policy. Children will be hospitalized who did not n
Trump is laying waste to the agency that keeps hospital patients safe | Robert B Shpiner (opens the original)
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Few have heard of the Agency for Healthcare Research and Quality, but it has saved tens of thousands of lives and billions of dollars When I started my training in 1980, we accepted an arithmetic that would now be indefensible. Central lines, the catheters we threaded into the great veins of the critically ill, became infected, and some of those patients died. We recorded the deaths as complications. Almost no one thought of them as preventable, because no one had yet done the slow work of provi
Three speeches on a single day signaled a dying American democracy | Robert Shpiner (opens the original)
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Stephen Miller warned of a leftwing ‘cancer’ threatening civilization. As a critical care doctor, I have a response to his diagnosis The presumption that US elections are legitimate died last week in Washington. It was 237 years old. It did not die of one wound. It died of three, inflicted in a single day, in daylight, on the record. And the country, running to the loudest of them, never examined the one most likely to kill. In critical care we distinguish the mechanism of death from its cause.
Cyclospora is easy for doctors to miss. The US made it even harder to spot | Robert B Shpiner (opens the original)
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Last year the federal government downgraded active surveillance for this parasite. Now thousands are sick A patient arrives after two weeks of relentless watery diarrhea, sometimes 20 episodes a day. She has lost weight and cannot keep fluids down. Her stool tests come back negative. Unless someone thinks to order an assay that includes Cyclospora cayetanensis, she may leave without a diagnosis and stay ill for weeks longer. Cyclospora is easy to miss in a clinic. Many routine stool tests do not
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