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don samuels's avatar

Great article Tom. I'll be reading

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JOHN FINNEGAN's avatar

Great column, Tom. A couple of observations - we have a challenge with a lot of public health issues where the root causes are way upstream, and the policy fixes require long-range planning well beyond biennial arithmetic. Often our policy making is reactive in the short term, and when faced with the need for long-term remediation to avoid a future catastrophe, it's easier to "kick the can down the road." There are few immediate political incentives in addressing possible disasters years off. Think climate change where the science has been warning for decades about accumulating effects. The other thing I've been thinking about is the concept and process of "design thinking" applied to public health challenges and policy tools. It's a framework that has started to take hold in public health but is in its early stages. More thoughts to come! Good start, sir!

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