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The Healthy Project Podcast

The Healthy Project Podcast

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 The Healthy Project Podcast explores the powerful intersection of health, society, and equity through real conversations with changemakers on the front lines of social impact. Each episode features thought leaders, researchers, and advocates who unpack how social structures — from policy to culture — shape the health of communities. Topics we explore include: Health equity and structural determinants Community-driven research and innovation Lived experiences of marginalized populations Public policy, systemic bias, and health outcomes Whether you're a public health professional, social science researcher, policymaker, or community advocate, this podcast brings you grounded insights, bold ideas, and practical tools to drive change where it matters most.© 2023 The Healthy Project Podcast Hygiène et vie saine Maladie et pathologies physiques Psychologie Psychologie et psychiatrie
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    • Building Community Trust in Public Health: 30 Years of Equity-Focused Communication Strategies with Darolyn Davis

      Building Community Trust in Public Health: 30 Years of Equity-Focused Communication Strategies with Darolyn Davis
      Feb 9 2026
      After 30 years bridging the gap between public policy and communities, Darolyn Davis knows why most public health engagement efforts fail—and more importantly, how to fix them. In this episode of The Healthy Project Podcast, host Corey Dion Lewis speaks with Darolyn Davis, founder of D&A Communications, about the critical disconnect between well-intentioned public health initiatives and the communities they aim to serve. This conversation goes beyond surface-level community engagement to explore what it really takes to build institutional trust.Darolyn shares the pivotal moment in her career when she realized that policymakers were making decisions for communities without including the voices of those most affected. Working in the California State Legislature, she witnessed firsthand how missing perspectives—particularly women and people of color—led to unintended harmful consequences in public policy. This realization launched three decades of work focused on equity-first communication strategies, where community voices aren't just heard, but actively shape outcomes.Key Discussion Points:Why Traditional Outreach Fails Darolyn explains why treating outreach as a distribution problem rather than a relationship problem dooms most initiatives from the start. Sending mailers, holding meetings, and posting information online doesn't equal meaningful engagement—and communities see right through it.The Trust Gap in Healthcare. The conversation addresses uncomfortable truths about why communities, particularly communities of color, distrust healthcare institutions. With Black women facing maternal mortality rates 3-4 times higher than white women, and Black Americans comprising only 5-7 percent of clinical trial participants despite representing 14 percent of the population, historical and ongoing systemic failures shape present-day healthcare decisions.Measuring What Actually Matters Most agencies measure engagement success by counting meetings held or materials distributed. Darolyn argues for a completely different approach: measuring sentiment, behavioral change, and whether you've actually moved people from one understanding to another. She reveals why superficial metrics waste resources and erode trust further.Real-World Case Study: Six Years to Build Trust Darolyn shares the remarkable story of working with the Bayview Hunters Point community in San Francisco. When a public agency wanted to build a new 62 million dollar community facility, residents initially refused—they didn't trust that promises would be kept. It took six years of consistent relationship-building, honest dialogue, and demonstrating follow-through before the community agreed. The result: a state-of-the-art Southeast Community Facility that now serves as a healthcare, education, workforce training, and community hub.This case study illustrates a critical truth: meaningful change takes time, and there are no shortcuts to building trust.Institutional Responsibility vs. Personal Choice One of the most important reframings in this episode is shifting from "Why don't communities trust us?" to "What are we doing that earns trust?" When trust is treated as an institutional responsibility rather than a personal choice, the burden shifts from communities to the organizations that serve them.What Keeps Failing After 30 Years Darolyn identifies recurring problems: communities brought in too late in the decision-making process, equity treated as a checkbox, budgets too small for genuine engagement, organizations moving faster than relationships allow, and failure to acknowledge historical harms that shape current perceptions.The Question Every Public Health Leader Should Ask Before launching any campaign or initiative, Darolyn advises asking: "Who is not at the table?" This simple but profound question forces organizations to identify missing voices and perspectives before making decisions that will impact those very communities.About This Episode's Guest:Darolyn Davis is the founder of D&A Communications, an equity-first communications agency that has spent three decades specializing in public health, education, transportation, and workforce development. Her work focuses on authentic community engagement that doesn't just inform communities about decisions already made, but involves them in shaping outcomes. She built her agency on the principle that all people deserve a voice in policies that affect their lives.Why This Conversation Matters:Public health professionals, healthcare administrators, policy makers, and community organizers face increasing challenges in building trust and achieving meaningful health outcomes. Misinformation spreads rapidly, historical harms create justified skepticism, and communities increasingly push back against initiatives designed "for them" without "with them."This episode provides both diagnosis and treatment for broken engagement systems. Whether you're launching a vaccination campaign, developing ...
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      34 min
    • Housing as Medicine: Why Homelessness is a Housing Crisis with Dr. Margot Kushel, UCSF

      Housing as Medicine: Why Homelessness is a Housing Crisis with Dr. Margot Kushel, UCSF
      Feb 2 2026
      Corey Dion Lewis sits down with Dr. Margot Kushel, a practicing general internist with over 30 years of experience at San Francisco General Hospital and Director of the UCSF Benioff Homelessness and Housing Initiative, to explore why homelessness is fundamentally a housing problem—not a healthcare problem—and what this means for medical professionals and communities.Dr. Kushel shares compelling insights from her three decades of clinical practice and research, revealing how the lack of affordable housing creates impossible situations for healthcare providers trying to treat patients experiencing homelessness. From managing diabetes in a tent to storing insulin without refrigeration, she illustrates why "there is no medicine as powerful as housing."What You'll Learn:Why regions with high homelessness rates are defined by housing affordability, not mental health prevalenceHow structural racism and redlining created the current crisis, with Black Americans 4-5 times overrepresented in homeless populationsThe stark reality: only 36 affordable housing units exist for every 100 extremely low-income households in AmericaWhy Housing First policies work better than Treatment First approaches, backed by evidence from veteran homelessness reductionThe hidden homeless population: workers living in cars, college students couch-surfing, and older adults losing housing for the first timeHow the politicization of Housing First policies threatens progress and patient outcomesPractical ways healthcare providers can advocate for housing as a health interventionKey Clinical Insights:Dr. Kushel explains why treating chronic conditions like diabetes, hypertension, and mental health disorders becomes nearly impossible when patients lack stable housing. She shares real stories from her practice, including a 63-year-old patient who hadn't eaten in four days while fighting eviction, and discusses how readmission penalties unfairly penalize hospitals serving homeless populations.The Evidence for Housing First:Learn about the dramatic 85% housing retention rate of Housing First approaches compared to 5-10% success rates of traditional Treatment First models, and why the George W. Bush administration adopted this evidence-based policy. Dr. Kushel also shares findings from California's comprehensive statewide homelessness study, debunking myths about people traveling from other states.For Medical Professionals:This episode is essential listening for physicians, nurses, nurse practitioners, physician assistants, medical students, residents, community health workers, social workers, case managers, and anyone in healthcare who treats patients experiencing housing instability. Dr. Kushel provides a framework for understanding how to advocate beyond the clinic walls.About Dr. Margot Kushel:Dr. Kushel is a physician and researcher who has dedicated her career to understanding and ending homelessness. She directs the UCSF Benioff Homelessness and Housing Initiative and the Action Research Center for Health at the University of California, San Francisco. Her research informs policy at local, state, and federal levels.Resources Mentioned:UCSF Benioff Homelessness Initiative: homelessness.ucsf.eduCalifornia Statewide Study of People Experiencing Homelessness"There Is No Place" by Brian GoldstoneEpisode Takeaway: "There is no medicine as powerful as housing. Homelessness is a housing problem."Whether you're a healthcare provider frustrated by social determinants of health, a medical student learning about population health, or a community advocate, this conversation will change how you think about the intersection of housing and health.SHOW NOTESEpisode: Housing as Medicine: Why Homelessness is a Housing Crisis Guest: Dr. Margot Kushel, MD Host: Corey Dion Lewis Category: Medicine Duration: ~49 minutesABOUT THIS EPISODEDr. Margot Kushel, Director of the UCSF Benioff Homelessness and Housing Initiative, explains why homelessness is fundamentally a housing crisis and how this understanding transforms medical practice and healthcare advocacy.GUEST BIODr. Margot Kushel, MDPracticing General Internist, San Francisco General Hospital (30+ years)Director, UCSF Benioff Homelessness and Housing InitiativeDirector, Action Research Center for Health, UCSFLeading researcher on homelessness and health outcomesPolicy advisor at local, state, and federal levelsKEY TOPICS & TIMESTAMPS[00:00] Introduction: The Housing-Health Connection[02:00] Homelessness is a Housing ProblemWhy mental health and substance use don't explain geographic variationsThe role of affordable housing shortagesComparing high vs. low homelessness regions[05:00] The Clinical Reality: Hands Tied Behind Our BacksTreating diabetes in patients living in tentsWhy standard medical care fails without stable housingThe frustration of healthcare providers[08:17] The Numbers: America's Affordable Housing Crisis36 units per 100 extremely low-income households nationallySan Francisco: 24 units ...
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      51 min
    • ICE Killings in Minnesota: Why Silence Is a Choice | The Healthy Project

      ICE Killings in Minnesota: Why Silence Is a Choice | The Healthy Project
      Jan 26 2026

      Today’s episode is not the one I planned to release. I was supposed to share an interview I was excited about, but it didn’t feel right to move forward after the tragic killings by ICE agents in Minnesota. Families are grieving. Communities are scared. And pretending everything is normal felt like the wrong move.

      In this solo emergency episode, I speak honestly about not having the right words, but choosing to not stay silent. The Healthy Project was created to shine a light on the systems that harm people, and what happened in Minnesota is not just a headline. It is state violence. It is the predictable result of a system built on fear and enforcement.

      This episode is about sitting with discomfort, naming what’s happening, and turning awareness into action. I share why immigration enforcement has always been violent, why no human being deserves to die because of documentation status, and what you can do right now to support impacted communities.

      We talk about:

      • The ICE killings in Minnesota and why this matters to all of us
      • How silence protects harmful systems
      • The human cost behind immigration enforcement
      • Ways you can take action through education, mutual aid, and community support

      This is a heavy episode. But it’s a necessary one. You don’t need perfect words to show up. You just need to refuse to look away.

      ★ Support this podcast ★
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      8 min
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