Good news on opioid deaths, judge calls ACIP incompetent, and a discussion about tobacco in Indiana

Indiana health prices go public, predictable military flu outbreaks, and Title X on the chopping block

HOOSIER HEALTH MATTERS SEASON 2, EPISODE 18 DATE: 6/26/2026 TITLE:  INDIANA HEALTH PRICES GO PUBLIC, MILITARY FLU OUTBREAKS, AND TITLE X ON THE CHOPPING BLOCK NEXT EPISODE WILL BE JULY 17 0:00- Intro 2:05- A new website [https://indianahealthprices.in.gov/] shows you health care service prices at health care institutions in Indiana. 4:08- 40% of Hoosiers can't afford the cost of living [https://www.wishtv.com/news/indiana-households-struggle-basic-needs/?utm_source=snydereport.beehiiv.com&utm_medium=newsletter&utm_campaign=ballard-campaign-fined-4-in-10-indiana-households-can-t-meet-cost-of-living-and-meloni-trump-baloney&_bhlid=76b007aa8a07581bf13061f376d46557ce07567f] 5:25- FDA VRBPAC approves the mRNA flu vaccine [https://www.npr.org/2026/06/18/nx-s1-5863570/flu-vaccine-mrna-moderna-fda?fbclid=IwY2xjawSiX0NleHRuA2FlbQIxMABicmlkETFjREhiNHNmaHZLWXRIeUFSc3J0YwZhcHBfaWQQMjIyMDM5MTc4ODIwMDg5MgABHgOYWN9DDqBl3p_5W30GLJv1uktYZj0c5b0IR81IDBubIoNBkgtdNu0wat0J_aem_DH_x1OT3XeNUuAz2naeahg] that the previous FDA vaccine czar refused to review. 8:07- Military removes a flu vaccine requirement- vaccine coverage goes from nearly 100% to 40%- huge outbreak at an air force base in Texas [https://www.nytimes.com/2026/06/18/us/flu-outbreak-air-force-base.html].  Stupid decisions yield predictably stupid results. 9:56- RFK, Jr pissed that a shitty vaccine study has been retracted [https://www.medpagetoday.com/pediatrics/vaccines/121793] 12:25- Ebola outbreak continues 13:09- 770,000 kids from 12 states [https://www.propublica.org/article/snap-benefits-children-food-stamps] no longer receiving SNAP (food) benefits 14:14- Rural health grant rules being changed mid-stream [https://kffhealthnews.org/rural-health/rural-health-transformation-program-federal-cms-clawbacks-state-plans/?emci=1dc30c66-3e6f-f111-ac9c-000d3a54bed0&emdi=699b3cea-bb6f-f111-ac9c-000d3a54bed0&ceid=6522495] 15:43- Title X program lawsuit [https://stateline.org/2026/06/18/family-planning-organizations-sue-trump-administration-over-title-x-funding-announcement/] challenges changes to the Title X program (this is a good lawsuit) 17:18- Gabe reminds us that moms.gov [https://moms.gov] exists, which is a terrible website 17:58- States losing a lot of money [https://iwpr.org/articles/more-than-140-billion-in-lost-earnings-abortion-restrictions-continue-to-harm-women-and-are-a-persistent-drag-on-the-economy/?utm_source=substack&utm_medium=email] due to abortion restrictions- and Indiana is one of the biggest losers 19:24- Tracey teaches us all about the federal embryo adoption program, and recent problematic changes around the language of that program [https://www.theguardian.com/commentisfree/2026/jun/25/the-trump-administration-is-calling-frozen-embryos-children] 21:53- Go team USA!!!! Editing assisstance this week by Elijah Bosslet Become a member of the Good Trouble Coalition [https://www.goodtroubleindiana.org/join-only] (free!) Donate to support the Good Trouble Coalition [https://www.goodtroubleindiana.org/donate-and-join] Thanks for listening! Follow us on Bluesky [https://bsky.app/profile/goodtroublein.bsky.social] and Instagram [https://www.instagram.com/goodtroublein/]

Indiana kids lose Medicaid, mifepristone panic, and Sen. Bohacek on medical marijuana

HOOSIER HEALTH MATTERS SEASON 2, EPISODE 17 DATE: 6/19/2026 TITLE:  INDIANA KIDS LOSE MEDICAID, MIFEPRISTONE PANIC, AND SEN. BOHACEK ON MEDICAL MARIJUANA 0:00- Intro 2:25- 20% less Indiana children enrolled in Indiana Medicaid today compared to a year ago [https://ccf.georgetown.edu/2026/06/10/which-states-are-seeing-the-largest-declines-in-child-medicaid-chip-enrollment/] 4:32- Fairbanks School of Public Health joins with Indiana Department of Health to form an academic health department partnership [https://news.iu.edu/publichealth/live/news/51298-fairbanks-school-and-indiana-department-of-health?utm_campaign=iu-indianapolis-today&utm_medium=email&utm_source=newsletter&utm_content=iu-indianapolis%7Cxx%7Cot%7Cemail%7Cemnws%7Cown%7Cxx%7Ckpv%7Cstem%7Cstema%7Cxx%7Cxx%7Cxx%7Cxx%7Cglob%7Cxx%7Ccrm%7Cxx%7Cxx%7C2026-06-22-01%7C902] (yay!) 6:29- Indiana tries to reign in healthcare costs by limiting hospital charges [https://indianacapitalchronicle.com/2026/06/15/indiana-takes-on-powerful-hospitals-by-capping-prices-they-charge-employers/?emci=9c890137-1768-f111-8fcb-000d3a14b640&emdi=8a6c739e-ad68-f111-8fcb-000d3a14b640&ceid=663853] to employer based programs starting July 1 7:57- Andre Carson files bill [https://fox59.com/indianapolitics/carson-introduces-bill-that-would-require-states-to-opt-into-summer-ebt-program/?utm_source=snydereport.beehiiv.com&utm_medium=newsletter&utm_campaign=good-bayh-indy-hello-fort-wayne-proposed-child-care-rules-will-endanger-children-and-trump-close-to-a-deal-with-iran-again&_bhlid=cd77e5fb6b0cef9d984dc4af7eac853cff9db3d8]to make SunBucks a default opt-in program (likely in response to Indiana opting out the last 2 years for reasons that seem nefarious) 10:27- MAHA wants people to eat vegetable but the Department of Agriculture is cutting funding for fresh foods [https://www.medpagetoday.com/opinion/second-opinions/121713] in their programs 11:47- Federal House Budget would cut two extremely successful health outcomes and implementation science programs [https://appropriations.house.gov/news/press-releases/committee-releases-fy27-labor-health-and-human-services-education-and-related] 13:56- Indiana's attorney general wants to make sure the EPA is monitoring mifepristone in drinking water [https://image.subscription.in.gov/lib/fe2e11747364047b721071/m/1/8b54cd0f-a905-4953-bdc5-f4387a895305.pdf]. Math tells us you would have to drink 233 lifetimes of water in a very short time to achieve 1/1000th of the therapeutic serum level 17:33- FDA mifepristone safety investigation starting in earnest [https://www.reuters.com/world/fda-launches-study-abortion-pill-safety-wsj-reports-2026-06-05/] 18:54- Interview with State Senator Mike Bohacek [https://www.indianasenaterepublicans.com/bohacek] about his bill to legalize medical marijuana [https://www.indianasenaterepublicans.com/bohacek-to-propose-legislation-to-legalize-medical-marijuana-in-indiana] in Indiana 32:05- Join Good Trouble for a social meetup Tuesday June 23 at Half Liter in Broad ripple at 6 pm! And watch the US beat Australia in the World Cup! 32:56- Wrap up Editing assistance on this week's episode provided by Elijah Bosslet Become a member of the Good Trouble Coalition [https://www.goodtroubleindiana.org/join-only] (free!) Donate to support the Good Trouble Coalition [https://www.goodtroubleindiana.org/donate-and-join] Thanks for listening! Follow us on Bluesky [https://bsky.app/profile/goodtroublein.bsky.social] and Instagram [https://www.instagram.com/goodtroublein/]

"Nuclear family month" executive order 🙄, vaccine guidance in limbo, and the politicization of NIH grants

HOOSIER HEALTH MATTERS SEASON 2, EPISODE 16 DATE: 6/5/2026 TITLE:  "NUCLEAR FAMILY MONTH" EXECUTIVE ORDER 🙄, MORE VACCINE POLICY CHAOS, AND THE POLITICAL TAKEOVER OF NIH GRANTS 0:00- Intro 1:57- Infant mortality rate for Indiana steady [https://indianacapitalchronicle.com/briefs/preliminary-data-shows-indiana-infant-mortality-remains-steady-at-record-low-in-2025/?emci=1535a3f1-ec59-f111-8fcb-000d3a18905c&emdi=48c1839a-885a-f111-8fcb-000d3a18905c&ceid=663853] but remains higher than the national rate 3:11- Indiana sues federal government [https://indianacapitalchronicle.com/2026/05/28/rokita-wants-to-block-federal-marijuana-shift/?utm_source=newsletter&utm_medium=email&utm_campaign=newsletter_axioslocal_indianapolis&stream=top\]over a proposed change to marijuana policy 5:10- June declared "nuclear family month" by Governor Braun, despite the fact that families look a lot of different ways, and only 18% of Hoosier households meet this definition 7:02- Many more tick bites this year so check yourself [https://events.in.gov/event/idoh-release-hoosiers-urged-to-take-precautions-against-tick-borne-disease-as-risk-increases-with-warmer-weather?utm_source=newsletter&utm_medium=email&utm_campaign=newsletter_axioslocal_indianapolis&stream=top]  7:49- FSSA halts new ABA provider enrollment [https://indianacapitalchronicle.com/briefs/indiana-pauses-autism-therapy-provider-signups/?emci=03994d1d-b85e-f111-8fcb-000d3a14b640&emdi=b09abe92-3f5f-f111-8fcb-000d3a14b640&ceid=663853] 8:33- HHS ACIP charter proposal pulled and ACIP is in shambles [https://thehill.com/policy/healthcare/5883776-acip-charter-amendment-error/?emci=685678bb-bf53-f111-8ef3-000d3a14b6d6&emdi=d6af5d12-3b54-f111-8fcb-000d3a18905c&ceid=6522495] 10:30- New federal executive order [https://www.whitehouse.gov/presidential-actions/2026/05/realigning-united-states-core-childhood-vaccine-recommendations-with-best-practices-from-peer-developed-countries/] sets the stage for major vaccine schedule changes 12:14- FDA report: no child deaths associated with COVID vaccine [https://www.cidrap.umn.edu/covid-19/cidrap-op-ed-manufacturing-scandal-what-fda-s-covid-vaccine-pediatric-death-review] 13:03- Ebola outbreak in Democratic Republic of Congo is the 3rd largest on record (not something to worry about, but not a good situation and any Americans who get ebola will not be treated in the United States (breaking from previous policy) 16:05- National smoking rate down to 9% [https://www.medpagetoday.com/primarycare/smoking/121528?xid=nl_mpt_DHE_2026-06-01&mh=1821085f09e8c82b1dc217081194ca6f&zdee=gAAAAABn9my4keDY9LGMf2tjLpT38aZfRaQdK3rkXVLrg2UCQgMyOxEz9JayXVMc23QA_iDwBf8PhxHImUJX8vrs2tGTydN7vA%3D%3D&utm_source=Sailthru&utm_medium=email&utm_campaign=Daily%20Headlines%20Evening%20-%20Randomized%202026-06-01&utm_term=NL_Daily_DHE_dual-gmail-definition]! 17:13- Proposed rule change [https://elizabethginexi.substack.com/p/summary-of-key-changes-in-ombs-proposed?r=4qv3fx&utm_medium=ios&triedRedirect=true] will make devastating changes to research grants in the United States (read the statement by Academy Health [https://academyhealth.org/blog/2026-06/threat-science-keeps-americans-healthy]) 22:37- Go to a pride celebration and join GTC for the annual meeting on Monday June 8th on zoom! 24:23- Wrap up Editing assistance on this episode by Elijah Bosslet Become a member of the Good Trouble Coalition [https://www.goodtroubleindiana.org/join-only] (free!) Donate to support the Good Trouble Coalition [https://www.goodtroubleindiana.org/donate-and-join] Thanks for listening! Follow us on Bluesky [https://bsky.app/profile/goodtroublein.bsky.social] and Instagram [https://www.instagram.com/goodtroublein/]

USPSTF turmoil, moms.gov propaganda, and modernizing Indiana's HIV laws

HOOSIER HEALTH MATTERS SEASON 2, EPISODE 15 DATE: 5/22/2026 TITLE:  USPSTF TURMOIL, MOMS.GOV PROPAGANDA, AND MODERNIZING INDIANA'S HIV LAWS 0:00- Intro 1:33- Physician in charge of the Hantavirus oubreak [https://www.usatoday.com/story/news/health/2026/05/16/hantavirus-health-brian-christine/90116228007/] has no public health experience but does have a podcast called "The Erection Connection" 2:30- United States Preventative Services Task Force quietly being dismantled [https://www.medpagetoday.com/washington-watch/washington-watch/121375] 4:13- Marty Makary resigns as head of FDA [https://www.politico.com/news/2026/05/12/makary-fda-resign-white-house-00916014]- we now have no CDC director, no FDA director, no surgeon general 5:42- Nicole Saphier, nominee for Surgeon General, is a grifter [https://www.theguardian.com/us-news/2026/may/04/who-is-nicole-saphier-trump-surgeon-general-nomination?emci=991d4ea5-3b4e-f111-8ef2-000d3a14b640&emdi=88ba2ae3-ba4e-f111-8ef2-000d3a14b640&ceid=6522495] 7:10- NIH doesn't have enough grant managers [https://www.nature.com/articles/d41586-026-01537-1?utm_source=sfmc&utm_medium=email&utm_campaign=cfas&utm_content=newsletter] to pay out all the grants that have been awarded 8:34- Federal government had been holding up immigration visas [https://www.medpagetoday.com/publichealthpolicy/workforce/121171?xid=nl_mpt_DHE_2026-05-08&mh=1821085f09e8c82b1dc217081194ca6f&zdee=gAAAAABn9my4keDY9LGMf2tjLpT38aZfRaQdK3rkXVLrg2UCQgMyOxEz9JayXVMc23QA_iDwBf8PhxHImUJX8vrs2tGTydN7vA%3D%3D&utm_source=Sailthru&utm_medium=email&utm_campaign=Daily%20Headlines%20Evening%20-%20Randomized%202026-05-08&utm_term=NL_Daily_DHE_dual-gmail-definition] for doctors but it looks like they are going back on that 9:38- Updates in abortion 12:08- Moms.gov [https://www.moms.gov/] is a really shitty website 14:36- New FSSA plan [https://indianacapitalchronicle.com/2026/05/15/indiana-unveils-medicaid-overhaul-aimed-at-pressuring-hospitals-to-lower-prices/?emci=b67493c8-d24f-f111-8ef2-000d3a14b640&emdi=7394697d-5150-f111-8ef2-000d3a14b640&ceid=663853] to attempt to reign in Indian Healthcare costs is a novel attempt to acheive this 18:30- Thoughts about legalizing marijuana in Indiana may be changing [https://indianacapitalchronicle.com/2026/04/29/braun-signals-openness-to-marijuana-legalization-as-outside-report-outlines-policy-considerations/] 19:57- Interview with Dr. Carrie Foote about the HIV Modernization Movement [https://hivmodernizationmovement.org/] to reform scientifically outdated laws that criminalize Hoosiers living with HIV.  35:00- Join Good Trouble for its annual meeting [https://zoom.us/meeting/register/AmXg48cDRnysD_LbncSBIA#/registration] (on Zoom) on June 8! 35:53- Wrap up This episode was edited by Elijah Bosslet. Become a member of the Good Trouble Coalition [https://www.goodtroubleindiana.org/join-only] (free!) Donate to support the Good Trouble Coalition [https://www.goodtroubleindiana.org/donate-and-join] Thanks for listening! Follow us on Bluesky [https://bsky.app/profile/goodtroublein.bsky.social] and Instagram [https://www.instagram.com/goodtroublein/]

RFK doesn't want you using antidepressants, armed forces no longer require flu vaccine, and Tracey teaches us all about mifepristone

HOOSIER HEALTH MATTERS SEASON 2, EPISODE 14 DATE: 5/8/2026 TITLE:  RFK DOESN'T WANT YOU USING ANTIDEPRESSANTS, ARMED FORCES NO LONGER REQUIRE FLU VACCINE, AND TRACEY TEACHES US ALL ABOUT MIFEPRISTONE 0:00- Intro 1:33- GTC is looking for an executive director!  More info here [https://www.goodtroubleindiana.org/about/executive-director] 2:11- Casey Means is out for Surgeon General, Nicole Saphier [https://www.theguardian.com/us-news/2026/may/04/who-is-nicole-saphier-trump-surgeon-general-nomination]is in 3:20- 988 Hotline for LGBTQ+ youth in crisis, is being reinstated [https://spectrumnews1.com/wi/milwaukee/news/2026/05/05/wisconsin-senator-988-lifeline-lgbtq-] and a JAMA paper shows that it has saved a lot of lives [https://jamanetwork.com/journals/jama/article-abstract/2848066] 4:25- RFK, Jr wants people to stop using antidepressants [https://www.nytimes.com/2026/05/04/science/rfk-antidepressants-ssris-hhs-maha.html]  5:58- Indiana Medicaid seeking return of $200 million of payments [https://indianacapitalchronicle.com/2026/04/23/fssa-seeks-return-of-200-million-in-improper-payments-to-attendant-care-providers/] for attendant care providers 7:40- 400 new FSSA workers [https://indianacapitalchronicle.com/2026/04/29/fssa-hiring-400-medicaid-eligibility-checkers-ahead-of-work-requirements/] just to check eligibility with the new rules (holy crap) 9:23- 340B program changes will not apply to FQHC clinics [https://indianacapitalchronicle.com/2026/05/01/health-clinics-exempt-from-drug-discount-rule-change/] (good news) 10:17- Audit of Marion County Office of Public Health and Safety not good [https://mirrorindy.org/indianapolis-office-public-health-safety-ophs-audit-contracts/?utm_source=newsletter&utm_medium=email&utm_campaign=newsletter_axioslocal_indianapolis&stream=top] 11:12- Indiana drops involvement in lawsuit regarding section 504 [https://indianacapitalchronicle.com/briefs/indiana-withdraws-from-lawsuit-challenging-federal-disability-protections/?emci=cd7dc611-dc47-f111-8ef2-000d3a14b640&emdi=baca0ec0-7548-f111-8ef2-000d3a14b640&ceid=663853] of Rehabilitation Act of 1973 (which is good) but for reasons that aren't great 12:04- Pentagon ends requirement [https://www.war.gov/News/News-Stories/Article/Article/4464967/hegseth-flu-vaccine-optional/] for active duty military to be immunized against flu (which is bad policy) 13:37- COVID vaccine paper that HHS would not publish has been leaked and you can read it here [https://insidemedicine.substack.com/api/v1/file/ab3d90bd-5bb8-4b2a-bf5e-0eccb93e0230.pdf] 14:26- Tracey's primer on medication abortion and shenanigans by the 5th circuit [https://www.cnn.com/2026/05/04/politics/supreme-court-abortion-mifepristone?emci=fe89b844-c348-f111-8ef2-000d3a14b640&emdi=cd777fbe-3a49-f111-8ef2-000d3a14b640&ceid=6522495] court of appeals  19:17- Ban on medicaid billing for Planned Parenthood up for grabs in Congress 20:09- Happy National Nurses Week!  And get to know the candidates in your district who won their primaries 21:02- Wrap up Become a member of the Good Trouble Coalition [https://www.goodtroubleindiana.org/join-only] (free!) Donate to support the Good Trouble Coalition [https://www.goodtroubleindiana.org/donate-and-join] Thanks for listening! Follow us on Bluesky [https://bsky.app/profile/goodtroublein.bsky.social] and Instagram [https://www.instagram.com/goodtroublein/]