Progressive Local Government for the 21st Century


All local governments are limited in addressing disparities in health care, since the basic rules of access are largely determined by federal or state policy. But municipalities can work those rules in policies in ways more or less favorable to their residents, especially poorer ones (e.g., by standing up community healthcare facilities of different kinds). And health itself is overwhelmingly determined by social conditions and individual  behaviors that local governments can influence: air and water quality, decent jobs, housing affordability, access to nourishing food, affordable childcare, quality transit, safe places for active mobility, exercise and recreation, and quality policing.  Progov21’s Health Equity policy roadmap offers an introduction to progressive health policies that local governments can work to implement.

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