Radical ends do not always demand radical means.
Health, and the sharply felt divides that characterize it, have been at the heart of the storm we have lived through in the early years of the 2020s. The pandemic served as a powerful reminder of two long-ignored, yet fundamental, realities: Health is shaped by inequity, and poor health anywhere is—.—a threat to health everywhere.
This is where we have been far less clear as a field, and where clarity about the approaches we can take to achieve our radical vision would serve us well. Public health iswith collective action that can generate health, which, by extension, must involve the creation of structures that generate, rather than hinder, health.
I recognize that this may seem like an inopportune political and societal moment to suggest incrementalism of any kind. Revolutionary times call for bold and dramatic actions. In this context, suggesting the value of incremental change can seem to reflect a want of boldness of vision, a failure to see past the moment to the opportunity it represents.
“He never shocked prejudices unnecessarily. Having learned Statesmanship while splitting rails, he always used the thin edge of the wedge first, and the fact that he used this at all meant that he would if need be, use the thick as well as the thin.”
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