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Washington, District of Columbia, United States
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35K followers
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About
Ninth Secretary…
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Articles by David
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Trump's Lasting Impact on AI
Trump's Lasting Impact on AI
Predicting President Trump’s future actions is challenging under the best of circumstances. On the topic of AI, he has…
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Twelve Reasons for the Superpower of VA Healthcare: Lessons for the Private SectorAug 29, 2019
Twelve Reasons for the Superpower of VA Healthcare: Lessons for the Private Sector
Having led private healthcare organizations for decades before running the US Department of Veteran Affairs, I was well…
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Extraordinary Opportunity to Serve- Deputy UnderSecretary for Community CareApr 9, 2016
Extraordinary Opportunity to Serve- Deputy UnderSecretary for Community Care
The U.S.
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A Call to Action for Reducing Veteran SuicidesJan 9, 2016
A Call to Action for Reducing Veteran Suicides
We are looking for ways to do more to prevent Veteran Suicides and calling for those that can help to join us in Dc on…
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So appreciative of the interest-But if you submitted info on January 2nd-5th- it was not received by VA so please resend: VALeadershipChallenge@va.govJan 3, 2016
So appreciative of the interest-But if you submitted info on January 2nd-5th- it was not received by VA so please resend: VALeadershipChallenge@va.gov
http://www.modernhealthcare.
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Job Posting- Your Country Needs You and So Do IJul 14, 2015
Job Posting- Your Country Needs You and So Do I
As many of my friend and colleagues know, last week I was sworn in as Undersecretary of Health for the US Department of…
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Activity
35K followers
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David Shulkin shared thisJust Released: The 2026 Annual Veteran Suicide report identified 6,488 Veteran suicides, about 17.7 per day (2024 data). This is an overall rate of 36.4 per 100,000, essentially flat from 36.6 the year before. In the 2026 report, the female suicide rate fell (14.6 to 13.9) while the male rate held steady (39.2), and about 61-62% of Veterans who died were not in recent VA care. Firearms were involved in roughly three-quarters of deaths and rates remain highest among younger Veterans, with men aged 18-34 at 53.0 per 100,000. Its now been 25 years since VA has been reporting these statistics and each and every year since 2001 more than 6000 veterans have taken their own lives. Despite tremendous efforts and significant resources expended, the progress has been frustratingly slow. We need additional approaches to the problem.#veteransuicide
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David Shulkin shared thisToday, there are approximately 17.3 million veterans in the United States, representing about 5% of the U.S. population. That is down significantly from the late 1970s, when the veteran population reached approximately 30 million and roughly 1 in 7 Americans was a veteran. The veteran population may be smaller today, but our obligation to serve those who served our country remains as important as ever. #veterans
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David Shulkin shared thisAfter years of advocacy by dozens of veterans groups (listed below), the Department of Veterans Affairs today announced new measures to strengthen transparency and shared decision-making when prescribing psychotropic medications. Beginning in 2027, VA will implement: • Written informed consent before prescribing opioids and benzodiazepines concurrently. • Written informed consent before prescribing antidepressants to Veterans under age 30. • Standardized patient education for Veterans receiving psychotropic medications, including antipsychotics, stimulants, antidepressants, anxiolytics and opioids. • Documentation of discussions covering medication benefits, risks, side effects, alternatives and safe discontinuation. Thank you to The American Legion Veterans of Foreign Wars (VFW) DAV (Disabled American Veterans) Iraq and Afghanistan Veterans of America (IAVA) AMVETS American Veterans Veterans of Foreign Wars (VFW) Jewish War Veterans of the USA Military Order of the Purple Heart of the U.S.A., Inc. Vietnam Veterans of America Fleet Reserve Association Navy SEAL Foundation RESERVE OFFICERS ASSOCIATION OF Special Operations Association of America Tragedy Assistance Program for Survivors Grunt Style Foundation AIR FORCE SERGEANTS ASSOCIATION GROUP Association of the United States Navy and U.S. Department of Veterans Affairs
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David Shulkin shared thisVeterans referred to community providers had to obtain an additional precertification for certain services added into a currently approved episode of care. VA has now removed that additional requirement. #veterans #communitycare
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David Shulkin shared thisToday in Washington, DC, I attended CMS’s ACCESS Model event and came away encouraged by the momentum behind this technology-enabled approach to chronic care—even while recognizing that payment levels may still be too low to drive broad adoption. In an important move, CMS announced that ACCESS will expand beyond its initial conditions—hypertension, diabetes, chronic musculoskeletal pain, and depression—to include heart failure, COPD, substance use disorders, and tobacco cessation beginning in spring 2027. More than 160 healthcare organizations are now involved, and private payers covering 165 million Americans—including Blue Shield of California, represented today by Ravi Kavasery, MD — have committed to payment approaches aligned with ACCESS. But the real significance isn’t simply the addition of new conditions. It’s the shift from paying for healthcare activities to paying for outcomes, paired with a pathway for remote monitoring, connected devices, AI-enabled technologies, and other innovative approaches to care. The Centers for Medicare & Medicaid Services—and particularly Mehmet Oz, Abe Sutton Jacob Shiff , and Amy Gleason —have done a remarkable job accelerating the movement toward value-based care. I was also especially pleased to see the U.S. Department of Veterans Affairs participating in this broader government-wide effort to improve outcomes through value-based payment models. #CMS #AccessModel #valuebasedcare https://lnkd.in/dFuhem33
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David Shulkin shared thisEvery generation faces a technology that changes everything. For us, it’s AI. The question isn’t whether AI will transform our world—it already is. The question is whether we can harness its extraordinary potential while anticipating its risks. We aren’t the first generation to confront disruptive technology. There are important lessons in how those before us navigated periods of profound change. This film looks backward so we can move forward with greater wisdom. Thank you Abdel Mahmoud, MD and Anterior for creating this thought provoking perspective. Watch below #AI
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David Shulkin shared thisHad a robust session today with former Commerce Secretary Wilbur Ross, and Sam Waksal founder of ImClone where we discussed how artificial intelligence is transforming healthcare, drug development, and U.S. competitiveness. We debated the growing competition with China in AI and biotechnology, the importance of healthcare data and investment, and how the U.S. can balance regulation and patient safety with the need to maintain global leadership in innovation. #healthcare
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David Shulkin shared thisTo keep informed on policy issues impacting veterans, Policyvets is a great resource. Its always free, nonpartisan, and has no commercial influence. #veterans #PolicyVets https://lnkd.in/gd7YJMmm
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David Shulkin shared thisThere has been growing attention around warnings from Anthropic researchers about the potential existential risks posed by advanced artificial intelligence. Jacob Coxon has raised concerns about the possibility of AI systems developing increasingly powerful, self-improving capabilities. Anthropic researcher Evan Hubinger has gone even further, publicly assigning a greater than 10% probability to an AI-driven catastrophe that could ultimately result in human extinction. But how, exactly, could AI pose such a threat to humanity? Here are five scenarios that concern me. By thinking seriously about each of these risks now, we can hopefully develop the technological and regulatory safeguards necessary to prevent them from ever becoming reality. 1. Pandemics and biological threats — AI could dramatically lower the barriers to designing dangerous biological agents, potentially giving bad actors capabilities that previously required highly specialized expertise and resources. 2. Cyberattacks on critical infrastructure — Highly capable AI systems could enable increasingly autonomous attacks against cloud infrastructure, communications networks, financial systems, power grids, healthcare systems, or military networks. 3. Manipulation of humans — As AI becomes increasingly sophisticated at persuasion and deception, it could potentially manipulate individuals or groups into taking actions that are harmful. 4. Runaway self-improvement and loss of control — An AI system that becomes better than humans at AI research could potentially design systems that humans might no longer understand, control, or be able to stop what those systems are doing. 5. Autonomous weapons and military escalation — AI could enable large numbers of autonomous drones and other weapons to operate with decreasing human supervision. The speed and scale of AI-driven warfare could increase the risk of unintended escalation and potentially catastrophic conflict. None of these outcomes is inevitable. But even if the probability of an existential AI catastrophe is uncertain, the magnitude of the potential consequences makes these risks worth taking seriously. The challenge is to develop the enormous benefits of AI while building safeguards before—not after—we discover which risks are real. #AI
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David Shulkin liked thisDavid Shulkin liked thisShe threw the bag on purpose. Not panic. Not surrender. A decoy. Most people hear that and think: I could never chain moves together like that under pressure. They're right that it's hard. They're wrong about why. Adrenaline and noradrenaline surge and throttle the prefrontal cortex — the part handling judgment, planning, and multi-step reasoning. (Arnsten, 2009) It doesn't go offline. But it can't hold a long plan together. What it can do is make one short call. Then another. Strung together from the outside, that looks like a plan. It isn't. It's architecture. Not a character flaw. And what looks like freezing usually isn't. Roelofs (2017) found that the freeze response is heightened attention and action preparation. The system loading. Not shutting down. One honest note. She also took his key and trapped his hand against the window. That worked. But it escalated direct contact — and that's not the lesson. The decoy was the lesson. The barrier was the lesson. The call for help was the lesson. Under catecholamine surge, people fall back on whatever's already wired in. (Schwabe & Wolf, 2009) Pre-deciding is how you choose what gets wired. Decide these before you need them: → Pre-decide your if-then. "If grabbed, I release — away from my body." Decide now, not then. → Make what you drop a problem for them. A thrown object forces a stop, not just distance. → Barrier first, then call. Lock it. Then dial. → Exhale longer than you inhale. It brings fine motor control back online faster. → Get loud. Shouting draws witnesses. This crime depends on speed and anonymity. Break both. → Rehearse with your body, not just your mind. Physical movement wires the pathway more directly than thinking through it does. Security teams run the same math. 2am. Live outage. Same catecholamine surge. Nobody has bandwidth to improvise five steps in sequence. A runbook pre-shortens the decision chain for the version of the team that will actually show up — not the version that exists in calm planning meetings. She didn't have a runbook. She had a few seconds and a decoy. You don't need to be fearless. You need a decision chain short enough for your biology to run when fear arrives. video credit : original creator
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David Shulkin liked thisDavid Shulkin liked thisLast month, cyberattacks targeted water and wastewater systems in at least 12 states, exploiting operational technology that controls pumps, pressure and valves. Fortunately, this time, there were no widespread supply disruptions. The vulnerability is enormous. The U.S. has roughly 150,000 public water systems, many operating with aging infrastructure and limited cybersecurity resources. AI should be applied to infrastructure safety and reliability with a sense of urgency - the way it is applied to everything else: continuously monitoring, detecting anomalies, predicting failures and identifying threats before they become disruptions. Infrastructure reliability is not just an engineering issue - it is a healthcare issue. Hospitals can’t deliver care without clean water. . . Dialysis, ORs, ICUs, sterilization, cooling, fire suppression, sanitation all rely on water systems. Every health system leadership team should know what critical infrastructure dependencies could shut down their ability to care for patients with practical backup plans if disruption occurs. Last week the LI work safety and resilience Forum Chair Todd Larson, EdD engaged with LI on the critical call to action to address infrastructure. #watersecurity #cybersecurity #criticalinfrastructure #healthcareresilience
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David Shulkin liked thisDavid Shulkin liked thisBe part of something bigger. The CPG X Community is bringing together founders, buyers, investors and industry partners to connect, learn and create real opportunities. Join us. And please share this with your LinkedIn network so we can all grow together. #CPGX #CPGCommunity #CPGBrands #EmergingBrands #CPGIndustry Darren Viscount Allison C. Gregory Willis
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