Harlan Krumholz
@hmkyale · Yale School of Medicine · joined 13 Sep 2009
Harold H. Hines Jr Professor, Yale Univ; Director, YNHH CORE; Editor-in-Chief, JACC. Working to improve the future for those who follow us...
26 545Followers
1 744Following
21 508Posts total
38.3KViews on collected posts
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@hmkyale Very impactful, HMK. Future CV disease cost is indeed “not merely an economic statistic. It is a clinical outcome, a family burden, and a civic choice”. Greater proficiency in weighing expected benefits vs financial harm & opportunity cost is critical. Tx for opening the
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My town will vote again, every spring.
The bill is always paid. Our responsibility is to make sure the care it buys is worth what patients and communities must give up.
My Editor's Page in @JACCJournals: https://t.co/ShZh0moerq
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The goal should not be less care.
It is less care that does not help, more reliable access to care that does, and greater protection from the financial harm of receiving it.
We should be as literate in a patient's financial exposure as in their ejection fraction.
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Guilford is not unique. This is the quiet mathematics of American health care.
$5.3 trillion in 2024. 18% of the economy. CMS projects ~$9 trillion by 2034 — 1 of every 5 dollars.
The bill is paid by someone, somewhere, out of something else they wanted.
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Health insurance is not money wasted. It is part of what a town owes the people who serve it. The problem is the rate at which its cost is crowding out everything else.
Everyone in that argument was reasonable. The arithmetic was not.
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So the leaders cut. An elementary special education coordinator. Instructional coaching. Two paraprofessionals. $237,500 in textbooks.
And $88,160 from a proposed expansion of peak-hour staffing for the fire department's EMS.
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In the superintendent's proposed school budget, the increase over the prior year was $5,301,311.
More than half of it — $2,659,221 — was employee medical benefits.
Not textbooks. Not transportation. Not heat.
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This spring, my town voted three times before it could pass a budget.
Guilford, Connecticut. 22,000 people. The debate had the texture those debates always have — schools, roads, fields, what a town owes itself.
Almost no one named the largest force driving it.
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Glad to be partnering with the best in the business, @thehowie on the #healthandveritas podcast; finishing our 5th season. Back in Sept for an exciting 6th season. Thanks to @YaleSPH @YaleSPH for your support! @mirandashafer Latest episode: https://t.co/g2D6YK574F
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Kudos to the investigators who studied this important question so rigorously; we await the scientific publications to learn more.
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"Overall rates of adverse events (AEs) and serious AEs in people treated with ziltivekimab were similar to those observed with placebo... a higher proportion of people treated w/ziltivekimab had serious infections compared to placebo. No difference in all-cause mortality...."
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Highly anticipated Zeus trial of anti-inflammatory therapy for cardiovascular risk reduction arrives. Ziltivekimab didn't reduce major adverse cardiovascular events risk (hazard ratio, 0.99; 95% confidence interval, 0.88 to 1.11). See press release. https://t.co/bT5UE1odLl
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1/ I've spent 30+ years building quality measurement — the measures, the registries, the public reporting. My new @JACCJournals Editor's Page says what I believe: what we built mattered, and it's not good enough. 🧵
https://t.co/DXW37zDNWZ
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We are underestimating the downside of our current system when we contemplate change. We need to take some risks to do better. #abimf2013
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Against accounts of the same size
12 posts from the last 90 days, next to the 10K–100K follower range. shown widely, but few of those viewers react.
Median views1 302this account980median for 10K–100K
Reach, %4.91%this account3.51%median for 10K–100K
Engagement, %0.48%this account1.92%median for 10K–100K
| Metric | This account | Median for 10K–100K | Ratio |
|---|---|---|---|
| Median views per post | 1 302 | 980 | 1.33× |
| Reach (views ÷ followers) | 4.91% | 3.51% | 1.40× |
| Engagement rate | 0.48% | 1.92% | 0.25× |
Others in this range → Compare with another account → How these benchmarks are built →
Growth & engagement
How the posts we collected actually performed: views and reaction rate post by post, what the audience did with them, and where the follower count goes.
Views per post
7.4K10 Jun
9.1K31 Jul
622
476
1.8K5 Aug
10K25 Aug
1.9K
1.4K
1.1K
1.2K
1.1K
2K
334
Last 13 collected posts, oldest on the left. The scale is logarithmic: one post can outrun the rest a hundred times over.
Engagement rate per post
0.58%10 Jun
0.43%31 Jul
0.48%
0.42%
0.45%5 Aug
0.55%25 Aug
0.48%
0.14%
0.86%
0.85%
0.73%
0.66%
0.30%
Reactions — likes, reposts, replies and quotes — divided by views. Median for 10K–100K accounts is 1.92%.
What the audience does
Likes65.2%152 in total
Reposts12.9%30 in total
Replies6.4%15 in total
Quotes2.1%5 in total
Bookmarks13.3%31 in total
Share of every reaction we collected for this account. Replies mean argument, reposts mean endorsement, bookmarks mean the post was worth keeping.
The follower curve appears once this account has two daily snapshots — we take one a day, and this one is on its first.
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