Jan Malcolm

But I don't think healthcare is set up to do that. Not the way healthcare is paid for. So I think a lot of this, I know this is kind of wonky, but so much of this comes back to financial incentives and how the healthcare system is paid and how the public health system is funded or isn't, that we just really need to, you know,

But I don't think healthcare is set up to do that. Not the way healthcare is paid for. So I think a lot of this, I know this is kind of wonky, but so much of this comes back to financial incentives and how the healthcare system is paid and how the public health system is funded or isn't, that we just really need to, you know,

to have a much more specific question about, and I think we've got good roadmaps from CDC and others about what would it take to fund things at a robust enough level population-wise to to make a difference. There are recommendations about what should public health funding per capita be? No state is close. If we really wanted to intervene on the upstream end, how much more should we

to have a much more specific question about, and I think we've got good roadmaps from CDC and others about what would it take to fund things at a robust enough level population-wise to to make a difference. There are recommendations about what should public health funding per capita be? No state is close. If we really wanted to intervene on the upstream end, how much more should we

Should we invest upstream? You know, I mean, it's still, what is, maybe you guys know the current data better than I do, but it's, you know, what is it still like 97, 98% of all the dollars are going into the intervention and a pittance is going into prevention. Well, you know, guess what? Part of the reason that other countries spend less money and get better results than we do.

Should we invest upstream? You know, I mean, it's still, what is, maybe you guys know the current data better than I do, but it's, you know, what is it still like 97, 98% of all the dollars are going into the intervention and a pittance is going into prevention. Well, you know, guess what? Part of the reason that other countries spend less money and get better results than we do.

They put more money, not only into kind of classic, you know, classic, if you will, public health, but also into what we were talking about earlier, the social determinants of health, the social net is stronger in places that invest more in housing and economic development and, you know, on and on.

They put more money, not only into kind of classic, you know, classic, if you will, public health, but also into what we were talking about earlier, the social determinants of health, the social net is stronger in places that invest more in housing and economic development and, you know, on and on.

And so I think the economics are actually on our side, but we got to really sharpen our arguments around that and broaden the coalition of people who can see that picture and see how all these things really are so interconnected and start to move more of that money upstream, because we will all suffer from it.

And so I think the economics are actually on our side, but we got to really sharpen our arguments around that and broaden the coalition of people who can see that picture and see how all these things really are so interconnected and start to move more of that money upstream, because we will all suffer from it.

Yeah.

Yeah.

Great question. Well, I think we need to be partners. And the critiques are a part of that. You know, like to help us understand what isn't working from the community's perspective. But then we also need...

Great question. Well, I think we need to be partners. And the critiques are a part of that. You know, like to help us understand what isn't working from the community's perspective. But then we also need...

for community organizations, community leaders, community members to kind of embrace their role in changing some of the conditions so that it's not all like, you know, you out there, you government people, you need to fix this. It's like, how do we fix it together? You know, how do we

for community organizations, community leaders, community members to kind of embrace their role in changing some of the conditions so that it's not all like, you know, you out there, you government people, you need to fix this. It's like, how do we fix it together? You know, how do we

how do we get the community the resources and the support, but also look to the community to lead and to learn how to Let me take that back. It's not about learning how to take responsibility, because I think community knows that a lot, but how to exercise some of the The muscles, if you will.

how do we get the community the resources and the support, but also look to the community to lead and to learn how to Let me take that back. It's not about learning how to take responsibility, because I think community knows that a lot, but how to exercise some of the The muscles, if you will.

I am so glad you did. I think you said it way better than I did. I was kind of trying to get at the same point, I think, that We have to support communities to be able to be more responsible and to create those expectations. Absolutely. You know, you're right about that. I think we need to be more explicit.

I am so glad you did. I think you said it way better than I did. I was kind of trying to get at the same point, I think, that We have to support communities to be able to be more responsible and to create those expectations. Absolutely. You know, you're right about that. I think we need to be more explicit.