KevinMD January 3, 2026
Tyler B. Evans, MD, MPH

An excerpt from Pandemics, Poverty, and Politics: Decoding the Social and Political Drivers of Pandemics from Plague to COVID-19.

We talk about health as if it were an individual act of will, a matter of personal choice or risk tolerance. But anyone who has walked alongside people living in poverty, in refugee settlements, in overcrowded housing, or on the street knows that illness does not take root in a vacuum. It grows out of systems (economic, political, and environmental) that determine who has clean water, stable housing, nutritious food, and access to care. These are the social and political determinants of health, and ignoring them all but guarantees that we will continue to spend more money to achieve worse outcomes...

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