Family doctor, policy-engaged researcher, committed to primary care revitalization and a just health systemhttps://bsky.app/profile/kgrumbach.bsky.socialhttps://bsky.app/profile/kgrumbach.bsky.social/post/3mrf4pput5s2fFound this an extremely insightful policy paper on how privatization of government programs (MA, Medicare D) is not just wasteful but also entrenches political power for health industry that stymies needed structural reforms. Highly recommended reading. [contains quote post or other embedded content]24 Jul 2026 10:16 +0000at://did:plc:ypotdtmkupogwl3pbxtxgeof/app.bsky.feed.post/3mrf4pput5s2fhttps://bsky.app/profile/kgrumbach.bsky.social/post/3megybnzejc2rOnly in the US would an impasse over health insurance benefits drive teachers to strike. Health care is a universal public benefit in all high income nations and we are long overdue in US for Medicare for All. As a longtime San Franciscan, breaks my heart for our teachers and kids alike. [contains quote post or other embedded content]09 Feb 2026 17:35 +0000at://did:plc:ypotdtmkupogwl3pbxtxgeof/app.bsky.feed.post/3megybnzejc2rhttps://bsky.app/profile/kgrumbach.bsky.social/post/3me2otj4lsc2bHorrifying apologists [contains quote post or other embedded content]04 Feb 2026 20:14 +0000at://did:plc:ypotdtmkupogwl3pbxtxgeof/app.bsky.feed.post/3me2otj4lsc2bhttps://bsky.app/profile/kgrumbach.bsky.social/post/3m7mjirws722cTerrific enlightening post for clinicians prescribing IV antibiotics. Appreciate our Pharm D colleagues. [contains quote post or other embedded content]10 Dec 2025 07:20 +0000at://did:plc:ypotdtmkupogwl3pbxtxgeof/app.bsky.feed.post/3m7mjirws722chttps://bsky.app/profile/kgrumbach.bsky.social/post/3m3zxumdgkc27Dr. Lawrence was a giant in her field. If obit was for a man, would the lede have included “A stylish dresser who always took the stairs, even in heels”? You need to do better @nytimes.com [contains quote post or other embedded content]25 Oct 2025 18:01 +0000at://did:plc:ypotdtmkupogwl3pbxtxgeof/app.bsky.feed.post/3m3zxumdgkc27https://bsky.app/profile/kgrumbach.bsky.social/post/3lzjar6vigk2hAre you a PCP pulling your hair out trying to maneuver through maddening insurance and pharma barriers to getting your patients the medications they need? A 2 word solution: pharmacy technicians. Check out our study @annalsofem.bsky.social on the benefit of adding pharm techs to primary care teams👇 [contains quote post or other embedded content]23 Sep 2025 15:35 +0000at://did:plc:ypotdtmkupogwl3pbxtxgeof/app.bsky.feed.post/3lzjar6vigk2hhttps://bsky.app/profile/kgrumbach.bsky.social/post/3lyo6obmaok2qTop line recs from @health.nationalacademies.org responding to 2026 CMS fee rules: -AdvPrimCareMng(APCM) services are largely preventive and should be exempt from cost-sharing -efficiency adjustments are justified for procedural and diagnostic services 1/2 https://www.nationalacademies.org/our-work/response-to-the-centers-for-medicare-medicaid-services-cy-2026-physician-fee-schedule-and-other-changes-to-part-b-payment-and-coverage-policies-proposed-rule#sl-three-columns-e50e4ec9-e4b5-4df5-b6c3-dcb5dff3face?utm_source=linkedin&utm_medium=social&utm_campaign=NASEM_share_intent12 Sep 2025 21:15 +0000at://did:plc:ypotdtmkupogwl3pbxtxgeof/app.bsky.feed.post/3lyo6obmaok2qhttps://bsky.app/profile/kgrumbach.bsky.social/post/3ly4ebafkos2dBravo to the authors and journal @annfammed.bsky.social Wonderful to see the broad interest in the important findings [contains quote post or other embedded content]05 Sep 2025 19:07 +0000at://did:plc:ypotdtmkupogwl3pbxtxgeof/app.bsky.feed.post/3ly4ebafkos2d