Why is the proliferation of quick fixes such as detoxes, fad diets and weight loss injections so prevalent online? Is it really a shortcut to getting fitter and healthier? Why is the focus shifting onto these products and services when what people actually need are structural changes like access to affordable housing, child care, clean air and healthy food?

In this episode of the Doctor Friends podcast emergency physicians Christian and Rosny are joined by Italo, who works in social emergency medicine, to discuss the social determinants of health in America. Italo explains his role in community health initiatives and the importance of addressing structural drivers of health.

The conversation explores how structural changes are crucial for lasting improvements and strategies are suggested for clinicians to better serve their communities, including attending city council meetings, creating resource lists and effectively communicating with policymakers. The episode underscores the need for systemic change and active involvement from healthcare providers to bridge gaps in healthcare access and equity.

This episode was recorded remotely in October 2025. Presented by Christian, Rosny and Italo. Music by Nylonia. Produced by Ilia Rogatchevski.

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