And type away with questions, I'll try to moderate these.

Can this be recorded for internal future viewing?

it looks like it is being recorded

It is being recoreded

You may want to say to everyone, if you are not a speaker please mute yourself. Otherwise every time you stir or cough you hijack the screen.

Thank you Dr. Perez - your work is deeply inspiring and motivating, and prompting some ideas about how we can integrate some of the approaches used by SeaMar at HealthPoint and involve our medical students and other learners into more community-driven pandemic response activities.

3iving

sorry mistype

1360AM El Rey on line or by radio - Sea Mar owned/operated. Every Wednesday 11-Noon COVID19 updates/conversation and interviews in Spanish. Daily 12:15-12:30 COVID19 announcements and Q&A in Spanish.

Life expectancy in South Park neighborhood in Seattle, the industrial area compared to NW portion of city by the water where wealthier, whiter families live is 13 years difference in favor of the NW neighborhood.

food deserts in South Park, Georgetown is no accident; and we wonder why patients can't eat healthy

Please give us your questions here

Yes, thank you, Hilda!

I don't have a question but do have a comment

when there is a minute to speak up

Tackling the reality of economic and racial inequity has always been a huge problem in the USA as you outlined. It is larger than us as individuals ie what exactly do we control. Can you give examples of how we as physicians can effect change? From personal interactions in the office to the larger world of business, city, state, etc.

can you include link to the Wilkinson and Pickett trust graph ? thanks

I agree that coming out as community/neighbor/friend is critical, separate from an official title or role. I also think there are many physicians who do want to go out and do the work - to create more community based approaches to these systemic problems, to get engaged in advocacy, but who struggle with huge number of hours they work due to the pressures in their health system to focus on generating patient visit #s (due to RVUs, etc) and have trouble with time - whether it's time away from clinic/charting or actually getting their health systems to help protect their time to do this work. Are there community physicians here who can share successful strategies/approaches they have taken with leadership in their institutions to help protect time/clinic funding to do this work?

Some of my favorite interactions with hispanic patients was using my Spanish grammar and vocabulary to grapple with medical problems. The memory and impact goes both ways!

Debbie, we can include this link in the follow-up from this meeting.

Re: funding to do this organizing work, look into value-based care. If you get a lump of $$ to take care of people, and accept that social determinants of health interventions will control chronic disease and pandemics better than in-clinic care, then you'll spend a % of that on "the work". Even 2 hrs/wk away from your FTE is worth it.

As Hilda and Julian mention also lack of trust we can provide for safety if they do come in for care.

And make it show up on strategic plans and budgets of our organizations, including healthcare but also community organizations, clubs, teams, etc.

So leveraging our relationship with patients and the community to model the behavior we are advocating for?

To Julian and Edwin: As we recognized the end of slavery with Junteenth, are we overlooking a growing human trafficking problem in the US today?

I think Juneteenth opens the door to think of other problems like human trafficking rather than distracting from it, in my opinion

It goes beyond modeling behavior, there is a need to hold groups and leaders accountable to have systems that prioritize the needs of the most vulnerable.

Need to distribute resources toward those who need them most, even when that requires power and resources are less for already empowered groups and individuals.

Thank you for organizing this talk. Thanks Julian and Edwin. This is my first ever WAFP coffee talk and will be coming back for future ones!! Muchisimas Gracias to all who attended, it shows your dedication to learn and that you care.

Edwin, thank you for bringing up the prisoner clause in the 13th Amendment that has been used to provide prison labor for wealthy corporations. See 13th on Netflix for details.

Is it possible to save the chat & distribute it?

Russell-who were you representing when knocking on doors? Yourself as a physician?

Please reach out to me at Lindsay@wafp.net to get a copy of the chat. Thanks!

would like to comment on ideas to advocate

I am a physician. I didn't/don't lead with that, yet in a smaller community it is sometimes called out by person

Maybe we can close with your comment angie to respect folks sat morning time.

I need to run but SO appreciate having had this presentation (& my non-MD husband, who listened in, wants me to say how much it touched him, as well. I serve the same population in a private practice. Thanks!

not needed. I defer time.

Thank you Julian and Edwin for your devoted leadership in advancing the health and wholeness of our people.

thank you, Edwin and Julian! it’s always inspiring to hear you!

thank you all so much for your time and efforts all! Thank you Lillian for all your excellent and thoughtful hosting.

Thank you. I am glad I joined. Very thoughtful.

Great discussion. Thank you all for coming and spending your time with us.

Very appreciative for these presentations and conversation. Thank you for all your work and insights. I am also further inspired in this work!

Juntos venceremos!!