From Public Charge to Voting: Five ways healthcare leaders are helping transform structural determinants of health across America

A famous proverb states: “Give a man a fish and you feed him for a day; teach him to fish and you feed him for a lifetime.” But what if he can’t afford the lesson? What if the pond is polluted? Why not teach a woman instead?


As healthcare and community partners work to improve care and individual health-related social needs, there is growing acknowledgment of a fundamental challenge. Even the most effective relationships between healthcare and social services still take place in unequal systems, where the communities in which patients live and work are shaped by unjust structures and unhealthy policies — what the WHO calls the “the causes of the causes.”


This webinar brings together leaders from the nation’s largest FQHC and the nation’s largest public healthcare system to highlight real-world examples of ways institutions are adding systems and structural transformation to their upstream investment portfolios. We discuss the potential impact of the new proposed public charge rule, due to go into effect in October, and what healthcare systems can do to prepare and respond. And, in honor of National Voter Registration Day (Sept 24th), we provide concrete examples of how to address one of the most significant upstream drivers of health — voter and civic engagement. Finally, drawing on real-life examples, we identify five specific ways healthcare leaders can support efforts to transform health policy and structural determinants of health across America.



  • Rishi Manchanda, MD, MPH, Founder & President, HealthBegins
  • Dave A. Chokshi, MD, MSc, Chief Population Health Officer, NYC Health + Hospitals
  • Berenice Núñez Constant, MPH, Vice President of Government Relations, AltaMed


Webinar Objectives:

By the end of the webinar, attendees will be able to:

  • List at least two challenges facing healthcare and community partners when it comes to addressing community-level structural determinants of health.
  • Identify at least three ways vanguard healthcare organizations are trying to tackle community-level structural determinants of health.
  • Describe up to five strategies and/or resources that healthcare stakeholders can use to help transform structural determinants in their own communities..


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