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Healthcare System Transformation

The Challenge: The Healthcare system driven by a focus on pathology, sick care , is failing to achieve its potential to contribute to individual well being.

The Vision: A Healthcare System driven by a paradigm that addresses health creation (salutogenesis), provides for optimal healthy individuals. 

The Questions:

1. How do we achieve the vision of health consistent with the UN and the promise of the Declaration of Independence?

2. What can I do to contribute to the vision of the optimal healthcare system that facilitates human flourishing?  

“Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.”


  • “The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition.

  • The health of all peoples is fundamental to the attainment of peace and security and is dependent on the fullest cooperation of individuals and States.”

WHO  Constitution

The Salutogenic Healthcare System

Within the healthcare system, the salutogenic paradigm offers a transformative framework that goes beyond simply addressing pathology and focuses on strengthening individual and social resources to promote health and optimal well-being. This comprehensive approach recognizes the significant role of social determinants of health in shaping an individual's health outcomes and expands potential interventions to encompass the individual, community, and broader cultural and political levels.

The Healthcare Ecosystem 
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Get Involved

Get Personal 


Information and tools for personal well being

Get Social 

Information and tools for engaging in your community

Get Political 

Information and tools for engaging political locally and beyond

The Case of the US Healthcare System

About The Medical Case Presentation of the US Healthcare System

The Case Presentation of the US Healthcare System offers a framework to address the challenges of the United States, in confronting our political and financial problems.The Case presentation closely linked to the Salutogenic Health care System Strategic Plan and Roadmap.  The challenges of healthcare are addressed. The process is used to translate symptoms into the best solutions based on existing information. The treatment plan is most effective when the problems addressed are clearly defined, the alternatives for action discussed and the plan offers actions to address short and long term challenges. 


The Case Presentation of the US Healthcare System offers a multistage action plan divided into immediate, short and long term actions for addressing the challenges of the US healthcare system. The treatment plan format allows us to engage in a healthy deliberative political process toward our vision: A sustainable system that provides access to quality, affordable healthcare for all Americans. It offers a much-needed change to the current political dialogue and reframes the challenges we face by asking the question: How can we all, including the private sector, nonprofits, government and citizens, best achieves effective solutions to our problems, solutions that will work in a complex world of escalating need and diminishing resources? We believe that together, following a treatment plan, we can solve the healthcare problems and build a system that is uniquely American and that we can be proud of, and change the political culture that has been so destructive.

Stakeholder Watch:  Hospital and Healthcare Systems 



Hospital Watch: Montgomery County  provides details about Montgomery County Hospitals. Currently you can follow the link to the hospital's reported outcomes on Medicare Compare as well as state  Dept of Health. You can use our Give Your Hospital a Checkup form  to learn more about the hospital's performance. 


Hospital Watch:  Montgomery County  connects to the Tool Box for Citizen Engagement: Take Action (Get personal, Get social, Get Political) for personal and community health information, ideas and tools for engagement with healthcare stakeholders. We invite you to join the conversation on how to achieve the best healthcare system for all Americans.


The First 1000 Days of Life Long Flourishing:  Personal Reflections

We are pioneering a path to a future where every child is nurtured from the start, in a community that supports their growth and caters to their needs during these formative years. Our mission is to ensure that every child, especially in their first 1000 days, thrives in an environment that's rich in care, opportunity, and support.     Participate 

Why Democracy of Opportunity?​

Democracy of Opportunity recognizes the fundamental need to ensure equal opportunities, rights, and well-being for all individuals. It provides a comprehensive framework, tools, and resources that empower individuals to participate fully in society and foster engaged communities. By addressing systemic inequalities and breaking down social barriers, the initiative aims to create an environment that enables every citizen to flourish and actively contribute to shaping a vibrant and inclusive democracy.

What Do We Owe The New Borns?

As we embark on the exploration of "What We Owe the Newborns" in the pursuit of a democracy of opportunity, we delve into a profound inquiry that encompasses philosophical, political, and spiritual dimensions. This effort aims to investigate the moral and societal obligations we bear towards newborn citizens, to ensure their flourishing and equal access to opportunities in a democratic society.

Is it Time to Move From DEI (Diversity, Equity and Inclusion)  to DOO (Democracy of Opportunity)?

The Democracy of Opportunity for Flourishing Citizens initiative offers a hopeful and inclusive path forward. It’s a response to the shortcomings and critiques of traditional DEI approaches, proposing a more holistic and proactive method for fostering a society where every individual has the opportunity to flourish. By focusing on empowerment, engagement, and well-rounded development, DOO sets the stage for a vibrant, equitable democracy where all citizens can realize their fullest potential.


The First 1000 Days  Through the Salutogenic Lens 

The salutogenic approach focuses on understanding and promoting health and well-being by examining the factors that contribute to a sense of coherence, which is a person's perception that life's challenges are comprehensible, manageable, and meaningful. The salutogenic formulation can be utilized in promoting democracy of opportunity by emphasizing the importance of creating conditions that enable individuals to thrive and participate fully in society. 

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