When Upstream Public Health Efforts Fall Short

Over nearly 20 years working in public health I have noticed an increase in individual and organizational commitment to “health equity". But as I explain in this piece “When Upstream Public Health Efforts Fall Short”, in spite of commonly shared definitions references to the social determinants of health, there is not a shared analysis about why inequities exist. And how we define the problem, shapes the meaning we make, the conclusions we draw, and the actions we take. (Spoiler alert: the problem is structural.)