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George Swan

Great conversation, Anne. I think the operational words that Jefferson underscored are inalienable right to 'pursue happiness'. Health is certainly one factor to happiness, as is education and economic circumstances. In the CHF annual symposium, I loved the new perspective Elizabeth Carger brings to the 'social determinants of health'. It may be that the shortest road to health equity and happiness equity will be community engagement. Local community, supported by state and federal programs, should be seen as the critical nexus of change. Creating a 'meta-index' for community engagement is essential to effectively empower collaboration between the key stakeholders. As Elizabeth put it, 'health starts where we live, learn, work and play.'

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