
Professor of Health Management & Policy, U of Michigan @MichiganHMP, Head Coach @UM_ClubSoftball. Opinions are my own, retweets don't imply endorsement.
Michigan
Joined May 2011
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Richard Hirth retweeted
The GAO has confirmed that AHRQ funding was illegally withheld.
$80 million in health services research authorized by Congress never reached researchers, disrupting studies focused on patient safety, access, quality, and affordability.
Read more: buff.ly/k5xJhBS
Richard Hirth retweeted
A public-use version of the Open Research Unconditional income Study (ORUS) dataset is now posted! This RCT paid $1000/month to a treatment group for 3 years. Test your favorite hypotheses about the effects of guaranteed income!
data.openresearchlab.org/
Richard Hirth retweeted
This is a big deal! And good news for Michigan.
DC Circuit Rejects Energy Department's Claim of "Emergency" Authority to Order Coal Plant to Remain Open reason.com/volokh/2026/09/11… via @reason @Volokhc
Richard Hirth retweeted
Darline Graham said that because her parents died when she was a kid, people today shouldn't want "government health care."
So I dug up the real story of the death of Darline/Lindsey's parents.
The details make her conclusion even odder. 1/
(new piece)
newrepublic.com/article/2148…
Richard Hirth retweeted
A youth sports poem:
The more money parents pay,
the more invested they feel,
the crazier they get,
the more likely their kids burn out.
Youth sports in America are a disaster. 70% of kids drop out by age 13. There’s crying. There’s yelling. There’s thousands of dollars spent.
Private equity (PE) firms buying up youth sport’s leagues sucks. Their incentive isn’t to build skills; it’s not the physical or emotional health of kids or the community. It is to make money.
Fees go up. Parents get FOMO. Many of the same kids who would have been playing for $100 bucks in a community league now must pay a fortune.
But it doesn't have t be this way. Youth sports can also be excellent. The best.
You get to teach character. You get to teach winning. You get to teach losing. You get to teach effort. You get to teach teamwork. You get to face adversity.
Kids learn they take on challenges, struggle, and improve. These are crucial life skills.
So much of it comes down to coaching and parents.
Are the coaches doing it for their own egos or because they love the game and they love the kids?
Do all the parents think their kids are going to get D1 scholarships, or are they hoping their kids make friends, gain confidence, and build character?
The goal of youth sports is not to win a 10-U championship. The goals are for kids to have fun, learn, develop growth mindsets, build friendships, and want to come back and play again next year. Regularly check whatever you are doing against these goals.
Youth sports rules:
•Make sure the kid wants to play, not you (the parent).
•If you are going to travel, set constraints.
•Do not specialize in a single sport before high school.
•Make sure the coaching is about developing not just good athletes but also good people.
Doing it right is not easy, at least given the system we have in America. My work has been profiled in The Athletic. I’ve worked with NBA, NHL, MLB, and NFL teams. And yet, one of my biggest challenges is trying to get youth sports right—as a coach and as a parent.
Most of us can’t change structural forces or outbid PE firms. But we can do our best to parent and coach in the right way. And when executed right, youth sports are so much better for kids than being inside peering into screens all day.
Set a good example.
Be about a growth mindset.
Be about trying hard.
Be about having fun.
‘Travel sports,’ a term that has come to encompass all sorts of private teams, leagues, and clubs, used to be for the truly exceptional young athlete. Now, they’re for anyone willing to pay — an expensive, exhausting commitment that has become popular not necessarily because millions of parents want them for their children but because it can feel like there’s no other choice. Rec programs are underfunded and struggle to compete with for-profit leagues for prime field, rink, and court times. And the level of play is diluted, often very early, as travel teams are incentivized to enroll children at young ages.
Around 5 million children in the U.S. now compete on travel teams. Parents find themselves trapped. They know the benefits of sports and want that for their children, yet giving it to them often means buying into a sports ecosystem that’s inherently flawed. As the pay-to-play model increasingly takes hold, so does the idea that kids should start competing at younger and younger ages, risking their sense of self along with their shoulders and ACLs.
“I never want my kids to look back and say I didn’t do everything I could to help them live their dreams,” a mother of three soccer players said. She’s hired professional photographers to take action shots for her 12- and 13-year-olds’ Instagram accounts — the platform has become a recruiting tool — and they’ve both asked her to pay for personal trainers.
“I think the word isn’t ‘specialize’; you are ‘professionalizing’ your kid early. You are exposing them to everything professionals have to deal with — I’m talking injury, time, schedule, everything,” said John Van Benschoten, a former MLB player and travel-baseball coach.
It makes one ask: All this for what? And for whom? Read Caitlin Moscatello’s cover story on how travel leagues have made youth sports more expensive, hypercompetitive, and all-consuming — and the investors who are making a killing: nymag.visitlink.me/1-gbZQ
Richard Hirth retweeted
AHRQ stopped funding 150 research and training awards at 78 institutions across 33 states.
Our white paper examines the federal grant record and raises questions about how those decisions were made and whether they align with federal grant requirements. buff.ly/1XHO8Sr
Richard Hirth retweeted
Want to learn more about Giacomo Meille and my new paper on differences in health care growth spending by income? Check out this new Health Affairs Health Podyssey: healthaffairs.org/do/10.1377…
Richard Hirth retweeted
A reminder on the evolution of 2020 "stolen election" theories: First we had mail-in fraud + Dominion + "illegal law changes" (Nov–Dec 2020) then → Georgia election workers + foreign interference/Italygate (Dec 2020–Jan 2021, concurrent) then → 2,000 Mules (ballot stuffers) (2022) then → social-media-censorship revival via Twitter Files (Dec 2022) then → renewed foreign-interference claims (2024–present).
Through all this, we've had:
1. Dominion getting $787 million from Fox News for defamation
2. Rudy Giuliani admitting he lied about Georgia election workers (and the jury awarding the workers $148 million)
3. Sidney Powell admitting in court "no reasonable person would conclude" her claims of election fraud “were truly statements of fact"
4. The Gateway Pundit retracting claims of election fraud in Atlanta
5. The Media company that put out D'Souza's 2,000 Mules film apologizing and removing it after law enforcement proved it falsely accused people of fraud
6. Newsmax and One America News Network (OANN) settling with Smartmatic
It is NOT true that none of these allegations have seen a court room. Most have. Of the 64 cases of fraud that Trump and his legal team filed in court, 30 were dismissed that included a hearing on the merits, 14 were voluntarily dismissed by Trump and his allies before a hearing, and just 20 were dismissed for lack of standing before a hearing on the merits. One case, involving far too few votes to impact the election, prevailed in Pennsylvania. That case was about voter ID deadlines, not election fraud.
Those are the facts.
Whatever happens Thursday night, please try to remember them.
Richard Hirth retweeted
No one has fought a war over getting wind energy through the Strait of Hormuz.
We need to make a choice to seize a clean energy future and leave dirty, dangerous fossil fuels behind.
Richard Hirth retweeted
Absolutely terrible. The biggest tax hike in decades, and 100% of the revenue would go to (often wealthy) retirees so that they can keep collecting more than they paid in.
Oh, and it keeps Social Security out of deficit for just 4 years. What happened to the Republican party?
We don’t agree on much, but @SenWarren and I agree on this: Social Security is a promise that must be fulfilled. By 2032, benefits could be cut by more than 20% if we do nothing.
We have a bipartisan plan to save it: end the payroll tax cap so everyone pays the same. No benefit cuts. No raising the retirement age.
nytimes.com/2026/06/23/opini…
Richard Hirth retweeted
Yes, whatever it is you want, whether industrial and family policy, or a larger defense budget, or climate policy plus universal healthcare, the Moreno-Warren tax hike makes it much harder if not impossible. xitter.cf/JHWeissmann/status/206…
PPI's Ben Ritz has a piece about his plan to save Social Security that's worth reading, even if you're not sold on his idea.
A key point: If you pass a big tax hike just to deal with SS, you need to think about what that means for the rest of your agenda...
radicallypragmatic.org/p/we-…
Richard Hirth retweeted
The influencer telling you to distrust your doctor has no liability if they are wrong.
Your physician does.
That asymmetry matters. It should factor into who you listen to.
Richard Hirth retweeted
Imagine if a woman president crashed the economy and started a war with no end in sight, and her biggest, seemingly ONLY concern was building a ballroom and redecorating the White House.
Richard Hirth retweeted
BURGUM: When the sun goes down, solar produces zero electricity
HUFFMAN: I want to enter into the record this amazing new technology that apparently the secretary is unaware of -- it's a battery
Richard Hirth retweeted
Hemodialysis Facilities, Vascular Access Surgeons, and Central Venous Catheter Use: A Retrospective Cohort Study
bit.ly/3ZK5TWp #OpenAccess
@MKOerline @RichardHirth @dorkstweet @UMichKidney
Buttigieg: And my word of warning to my own political party is that we would make a terrible mistake if we thought that our job was to just take power somehow and then put everything back the way it was. That’s not what we’re here to do.
We’re not out to go around and just find all the little bits and pieces of everything that they smashed and tape it together and say, “Here you go, I give you the world as it looked in 2023.” That’s not going to work. It’s not what we need.
So much has changed, and the truth is they are destroying things right and left. They’re destroying a lot of good, important things. They’re destroying some useless things too, because they’re destroying everything. So now we get a chance to put things together on different terms.
Richard Hirth retweeted
The best performers in the world aren't fearless.
They're curious.
When you're standing at the edge of something hard—a big project, a difficult conversation, a new challenge—the default is to tense up. But if you can shift from What if I fail? to I wonder what will happen next? everything changes. Watch how young kids move through the world. They tinker, stumble, and get right back to exploring. Nobody taught them this. It's in their nature, which means it's in our nature, too. The problem is that somewhere along the way our focus shifts from exploring to safeguarding our egos. Research shows that curiosity and fear compete for the same neural networks.
You literally cannot be curious and scared at the same time. Next time you feel the fear creeping in, try replacing How am I going to do this? with It’s a new day, let’s find out.























