1 00:00:05,160 --> 00:00:10,840 WELCOME ALL OF YOU FOR THE VIVEK 2 00:00:10,840 --> 00:00:12,120 MURTHY DISTINGUISHED LECTURE 3 00:00:12,120 --> 00:00:14,480 SERIES ON PUBLIC HEALTH 4 00:00:14,480 --> 00:00:15,760 LEADERSHIP. 5 00:00:15,760 --> 00:00:17,320 THIS LECTURE SERIES IS IN 6 00:00:17,320 --> 00:00:21,200 CELEBRATION OF THE ASIAN 7 00:00:21,200 --> 00:00:22,520 AMERICAN AND NATIVE HAWAIIAN 8 00:00:22,520 --> 00:00:25,520 PACIFIC ISLANDER HERITAGE MONTH 9 00:00:25,520 --> 00:00:28,280 FROM NATIONAL INSTITUTES OF 10 00:00:28,280 --> 00:00:35,360 HEALTH, NIH, AND FEDERAL ASIAN 11 00:00:35,360 --> 00:00:36,920 AMERICAN COUNCIL, AND IN 12 00:00:36,920 --> 00:00:40,680 COLLABORATION WITH THE HHS 13 00:00:40,680 --> 00:00:45,200 OFFICE OF EQUAL OPPORTUNITY 14 00:00:45,200 --> 00:00:47,200 INCLUSION AND OTHER AGENCIES, 15 00:00:47,200 --> 00:00:55,520 FDA, CDC, HRSA, SAMHSA, PAPOC. 16 00:00:55,520 --> 00:00:58,680 MY NAME IS RINA DAS, I AM THE 17 00:00:58,680 --> 00:01:01,040 CURRENT PRESIDENT OF THE CHAPTER 18 00:01:01,040 --> 00:01:05,240 AND THE DIVISION DIRECTOR OF THE 19 00:01:05,240 --> 00:01:06,320 INTEGRATIVE, BIOLOGICAL AND 20 00:01:06,320 --> 00:01:08,520 BEHAVIORAL SCIENCES AT NATIONAL 21 00:01:08,520 --> 00:01:09,680 INSTITUTE ON MINORITY HEALTH AND 22 00:01:09,680 --> 00:01:10,800 HEALTH DISPARITIES. 23 00:01:10,800 --> 00:01:12,360 WE KNOW THE HEALTH OF POPULATION 24 00:01:12,360 --> 00:01:14,280 IN THE WORLD IS ULTIMATELY 25 00:01:14,280 --> 00:01:16,600 DEPENDENT A GREAT DEAL UPON THE 26 00:01:16,600 --> 00:01:22,040 SUCCESSES OF OUR PUBLIC HEALTH 27 00:01:22,040 --> 00:01:23,200 RESPONSES, OUR PUBLIC HEALTH 28 00:01:23,200 --> 00:01:25,160 LEADERS AND AT THE LOCAL, STATE, 29 00:01:25,160 --> 00:01:26,640 AND NATIONAL LEVELS. 30 00:01:26,640 --> 00:01:33,160 SO TODAY'S EVENT IS INCREDIBLY 31 00:01:33,160 --> 00:01:36,480 MEANINGFUL FOR THE AANHPI 32 00:01:36,480 --> 00:01:36,760 COMMUNITY. 33 00:01:36,760 --> 00:01:44,760 WE HAVE THE U.S. SURGEON GENERAL 34 00:01:44,760 --> 00:01:46,760 DR. VIVEK MURTHY AND DR. DAVE 35 00:01:46,760 --> 00:01:48,840 CHOKSHI TO CREATE LEADERS TO 36 00:01:48,840 --> 00:01:50,000 INSPIRE OUR NEXT GENERATION. 37 00:01:50,000 --> 00:01:54,200 TO START THIS EVENT, IT IS MY 38 00:01:54,200 --> 00:02:00,120 GREAT PLEASURE TO INTRODUCE DR. 39 00:02:00,120 --> 00:02:01,960 SOUZAM WHO WILL PROVIDE SOME 40 00:02:01,960 --> 00:02:06,280 WELCOME REMARKS. 41 00:02:06,280 --> 00:02:08,640 >> THANK YOU AND WELCOME, 42 00:02:08,640 --> 00:02:09,760 EVERYONE, THIS BEAUTIFUL SPRING 43 00:02:09,760 --> 00:02:10,360 AFTERNOON. 44 00:02:10,360 --> 00:02:13,400 SPRING, WITH ALL THE HOPE AND 45 00:02:13,400 --> 00:02:15,720 PROMISE IT BRINGS TO OUR WORLD. 46 00:02:15,720 --> 00:02:20,160 WE CELEBRATE THE GREAT PRIDE 47 00:02:20,160 --> 00:02:22,520 ASIAN AMERICAN, NATIVE HAWAIIAN 48 00:02:22,520 --> 00:02:25,280 AND PACIFIC ISLANDER ON OUR 49 00:02:25,280 --> 00:02:25,520 CAMPUS. 50 00:02:25,520 --> 00:02:27,520 THIS MONTH HAS BEEN CELEBRATORY. 51 00:02:27,520 --> 00:02:33,400 I HAVE LEARNED SO MUCH FROM 52 00:02:33,400 --> 00:02:35,600 LISTENING TO THE SYMPOSIUM ON 53 00:02:35,600 --> 00:02:37,160 THE CHALLENGES WE FACE AS A 54 00:02:37,160 --> 00:02:38,600 COMMUNITY ON THIS CAMPUS AND IN 55 00:02:38,600 --> 00:02:39,880 THE WORLD IN GENERAL. 56 00:02:39,880 --> 00:02:43,200 FOR ME ON A PERSONAL LEVEL TO BE 57 00:02:43,200 --> 00:02:44,680 WELCOMING TWO DISTINGUISHED 58 00:02:44,680 --> 00:02:45,520 FELLOW COUNTRYMEN. 59 00:02:45,520 --> 00:02:48,960 IT IS A THRILL. 60 00:02:48,960 --> 00:02:51,360 AND ON A PROFESSIONAL LEVEL AND 61 00:02:51,360 --> 00:02:53,440 PERSONAL LEVEL TO KNOW YOU COME 62 00:02:53,440 --> 00:02:56,720 FORTH WITH BIG MINDS, BIG 63 00:02:56,720 --> 00:03:02,920 MESSAGES, AND OF COURSE A BIG 64 00:03:02,920 --> 00:03:04,600 HEART AND I'M THRILLED TO BE 65 00:03:04,600 --> 00:03:08,960 ABLE TO SAY A FEW WORDS. 66 00:03:08,960 --> 00:03:14,160 HONORING AND CELEBRATING THE 67 00:03:14,160 --> 00:03:14,800 VIVEK H. MURTHY DISTINGUISHED 68 00:03:14,800 --> 00:03:17,200 LECTURE SERIES AS A MEANS TO 69 00:03:17,200 --> 00:03:18,320 HIGHLIGHT SERVICE TO THE 70 00:03:18,320 --> 00:03:21,400 COMMUNITY AND PUBLIC HEALTH 71 00:03:21,400 --> 00:03:23,360 LEADERSHIP. 72 00:03:23,360 --> 00:03:28,000 SO TODAY WE HAVE DR. MURTHY 73 00:03:28,000 --> 00:03:37,080 RECOGNIZING DR. CHOKSHI'S LONG 74 00:03:37,080 --> 00:03:37,320 TIME. 75 00:03:37,320 --> 00:03:39,000 EVERYTHING YOU SAY ON PUBLIC 76 00:03:39,000 --> 00:03:40,960 HEALTH LEADERSHIP, ON MENTAL 77 00:03:40,960 --> 00:03:43,560 HEALTH, HOW TO COMBAT THE 78 00:03:43,560 --> 00:03:46,600 EPIDEMIC YOU DEFINED OF SOCIAL 79 00:03:46,600 --> 00:03:46,840 ISOLATION. 80 00:03:46,840 --> 00:03:48,880 BUILDING TRUST AND COMMUNITY AND 81 00:03:48,880 --> 00:03:51,280 RESILIENCE TO ADDRESS HEALTH 82 00:03:51,280 --> 00:03:51,600 INEQUITIES. 83 00:03:51,600 --> 00:03:53,120 EVERYONE ONE OF THESE POINTS IS 84 00:03:53,120 --> 00:03:54,760 GOING TO MEAN A LOT TO US. 85 00:03:54,760 --> 00:03:56,440 WE WILL FOLLOW UP WITH 86 00:03:56,440 --> 00:03:58,800 DISCUSSIONS AND ACTIONS AFTER WE 87 00:03:58,800 --> 00:04:00,040 ARE THROUGH THIS AFTERNOON. 88 00:04:00,040 --> 00:04:02,040 SO I WANT TO INTRODUCE A VERY 89 00:04:02,040 --> 00:04:04,520 SPECIAL PERSON TO ME, MONICA 90 00:04:04,520 --> 00:04:06,440 WEBB HOOPER, MOST OF YOU KNOW, 91 00:04:06,440 --> 00:04:09,000 WHO WILL DO THE HARD WORK OF 92 00:04:09,000 --> 00:04:10,680 MODERATING THE SESSION. 93 00:04:10,680 --> 00:04:12,280 IT SHOULDN'T BE HARD, IT SHOULD 94 00:04:12,280 --> 00:04:13,520 BE FUN. 95 00:04:13,520 --> 00:04:15,200 INTRODUCING OUR TWO SPEAKERS IN 96 00:04:15,200 --> 00:04:17,240 MORE DETAIL AND GENERATING A SET 97 00:04:17,240 --> 00:04:20,640 OF QUESTIONS AND ANSWERS IN A 98 00:04:20,640 --> 00:04:24,760 VERY LIVELY DISCUSSION. 99 00:04:24,760 --> 00:04:28,840 WELCOME, MONICA, AND WELCOME DR. 100 00:04:28,840 --> 00:04:33,960 MURTHY AND CHOKSHI FOR BEING 101 00:04:33,960 --> 00:04:34,160 HERE. 102 00:04:34,160 --> 00:04:35,800 >> I'M HONORED TO MODERATE THE 103 00:04:35,800 --> 00:04:37,640 THIRD YEAR OF THIS EVENT. 104 00:04:37,640 --> 00:04:41,480 THE FORMAT OF THE VIVEK H. 105 00:04:41,480 --> 00:04:43,160 MURTHY DISTINGUISHED LECTURE 106 00:04:43,160 --> 00:04:45,120 SERIES FOR PUBLIC HEALTH 107 00:04:45,120 --> 00:04:46,840 LEADERSHIP IS A CONVERSATION OR 108 00:04:46,840 --> 00:04:49,160 A FIRESIDE CHAT RATHER THAN A 109 00:04:49,160 --> 00:04:50,800 LECTURE OR A FORMAL 110 00:04:50,800 --> 00:04:51,120 PRESENTATION. 111 00:04:51,120 --> 00:04:53,640 TODAY WE HAVE THE PRIVILEGE OF 112 00:04:53,640 --> 00:04:56,720 HEARING FROM TWO ILLUSTRIOUS 113 00:04:56,720 --> 00:04:57,000 INDIVIDUALS. 114 00:04:57,000 --> 00:04:58,440 FIRESIDE CHATS ARE GREAT TO HAVE 115 00:04:58,440 --> 00:04:59,960 A CONVERSATION TO LEARN ABOUT 116 00:04:59,960 --> 00:05:01,320 THESE DISTINGUISHED INDIVIDUALS, 117 00:05:01,320 --> 00:05:02,600 TO HEAR THEIR PERSONAL 118 00:05:02,600 --> 00:05:04,040 REFLECTIONS AND HOPEFULLY WE 119 00:05:04,040 --> 00:05:06,560 WILL HAVE TIME TO INCORPORATE A 120 00:05:06,560 --> 00:05:08,080 FEW QUESTIONS FROM THE AUDIENCE 121 00:05:08,080 --> 00:05:09,360 TOWARD THE END. 122 00:05:09,360 --> 00:05:10,760 ALLOW ME TO START BY INTRODUCING 123 00:05:10,760 --> 00:05:12,800 AND SHARING A LITTLE BIT MORE, 124 00:05:12,800 --> 00:05:15,120 JUST A SMALL SELECTION OF OUR 125 00:05:15,120 --> 00:05:17,320 TWO GUESTS TODAY. 126 00:05:17,320 --> 00:05:19,600 NOT ONLY JUST IMPRESSIVE, BUT 127 00:05:19,600 --> 00:05:21,400 HISTORIC CAREERS. 128 00:05:21,400 --> 00:05:24,360 SO DR. MURTHY IS THE 21st 129 00:05:24,360 --> 00:05:25,760 SURGEON GENERAL OF THE UNITED 130 00:05:25,760 --> 00:05:26,320 STATES. 131 00:05:26,320 --> 00:05:29,640 AS A RETURNING ROLE. 132 00:05:29,640 --> 00:05:31,280 PREVIOUSLY SERVING AS THE 19th 133 00:05:31,280 --> 00:05:32,080 SURGEON GENERAL. 134 00:05:32,080 --> 00:05:33,760 AS THE NATION'S DOCTOR, THE 135 00:05:33,760 --> 00:05:36,720 SURGEON GENERAL'S MISSION IS TO 136 00:05:36,720 --> 00:05:40,120 RESTORE TRUST BY RELYING ON THE 137 00:05:40,120 --> 00:05:41,040 BEST SCIENTIFIC INFORMATION 138 00:05:41,040 --> 00:05:43,600 AVAILABLE, PROVIDING CLEAR 139 00:05:43,600 --> 00:05:44,520 CONSISTENT GUIDANCE AND 140 00:05:44,520 --> 00:05:46,000 RESOURCES FOR THE PUBLIC AND 141 00:05:46,000 --> 00:05:48,800 ENSURING THAT WE REACH OUR MOST 142 00:05:48,800 --> 00:05:50,000 VULNERABLE COMMUNITIES. 143 00:05:50,000 --> 00:05:54,000 AS THE VICE ADMIRAL OF THE U.S. 144 00:05:54,000 --> 00:05:56,480 PUBLIC HEALTH SERVICE, DR. 145 00:05:56,480 --> 00:05:58,600 MURTHY COMMANDED 6,000 DEDICATED 146 00:05:58,600 --> 00:05:59,960 PUBLIC HEALTH OFFICERS SERVING 147 00:05:59,960 --> 00:06:02,240 THE MOST UNDERSERVED AND 148 00:06:02,240 --> 00:06:09,600 VULNERABLE POPULATIONS DMES CAN 149 00:06:09,600 --> 00:06:10,320 -- DOMESTICALLY AND 150 00:06:10,320 --> 00:06:13,200 INTERNATIONALLY. 151 00:06:13,200 --> 00:06:15,920 HE HAS A PODS THERE CAST. 152 00:06:15,920 --> 00:06:19,040 THE FIRST SURGEON GENERAL OF 153 00:06:19,040 --> 00:06:20,760 INDIAN DESCENT, DR. MURTHY WAS 154 00:06:20,760 --> 00:06:23,360 RAISED IN MIAMI WHICH IS MY 155 00:06:23,360 --> 00:06:23,600 HOMETOWN. 156 00:06:23,600 --> 00:06:28,440 WHO LIVES WITH HIS WIFE IN 157 00:06:28,440 --> 00:06:29,760 WASHINGTON, D.C. AND THEIR 158 00:06:29,760 --> 00:06:30,600 CHILDREN. 159 00:06:30,600 --> 00:06:32,560 OUR HONOREE IS DR. DAVE CHOKSHI, 160 00:06:32,560 --> 00:06:35,360 A CLINICAL PROFESSOR AT NEW YORK 161 00:06:35,360 --> 00:06:37,000 UNIVERSITY AND PRIMARY CARE 162 00:06:37,000 --> 00:06:37,960 INTERNIST AT BELLEVUE HOSPITAL 163 00:06:37,960 --> 00:06:39,160 IN NEW YORK CITY. 164 00:06:39,160 --> 00:06:42,800 PREVIOUSLY HE SERVED AS THE 43rd 165 00:06:42,800 --> 00:06:44,760 COMMISSIONER AT THE NEW YORK 166 00:06:44,760 --> 00:06:45,920 CITY DEPARTMENT OF HEALTH AND 167 00:06:45,920 --> 00:06:49,040 MENTAL HYGIENE AND THE FIRST 168 00:06:49,040 --> 00:06:51,520 HEALTH COMMISSIONER OF ASIAN 169 00:06:51,520 --> 00:06:52,200 DESCENT. 170 00:06:52,200 --> 00:06:54,360 HE SUCCESSFULLY LED NEW YORK 171 00:06:54,360 --> 00:06:56,680 CITY'S COVID-19 PANDEMIC 172 00:06:56,680 --> 00:06:58,800 RESPONSE INCORPORATING A 173 00:06:58,800 --> 00:07:00,600 CAMPAIGN TO VACCINATE 6 MILLION 174 00:07:00,600 --> 00:07:02,200 NEW YORKERS AND ENSURE ACCESS TO 175 00:07:02,200 --> 00:07:02,480 TREATMENT. 176 00:07:02,480 --> 00:07:05,560 HE SERVED AS A PRINCIPLE PUBLIC 177 00:07:05,560 --> 00:07:08,000 SPOKESPERSON FOR NAVIGATING THE 178 00:07:08,000 --> 00:07:08,600 COMPLEXITIES OF SCHOOL AND 179 00:07:08,600 --> 00:07:10,480 BUSINESS REOPENINGS. 180 00:07:10,480 --> 00:07:22,000 SO IN 2021, UNDER DR. CHOKSHI'S 181 00:07:22,000 --> 00:07:24,800 LEADERSHIP, THERE WAS A RELEASE 182 00:07:24,800 --> 00:07:27,520 OF -- HIS PROGRAM OF RESEARCH 183 00:07:27,520 --> 00:07:29,200 FOCUSES ON VARIOUS FACETS OF 184 00:07:29,200 --> 00:07:30,520 PUBLIC HEALTH MEDICINE. 185 00:07:30,520 --> 00:07:33,200 HE HAS PUBLISHED IN HIGH IMPACT 186 00:07:33,200 --> 00:07:35,920 PEER REVIEW JOURNEYS ON THE 187 00:07:35,920 --> 00:07:38,920 IMPACT OF INCOME INEQUALITY ON 188 00:07:38,920 --> 00:07:41,840 HEALTH INEQUITIES, RACISM AS A 189 00:07:41,840 --> 00:07:43,720 FACTOR THAT REDUCES QUALITY OF 190 00:07:43,720 --> 00:07:45,520 PARTIAL CARE, MOUNTING 191 00:07:45,520 --> 00:07:48,160 CHALLENGES TO HEALTH ACCESS TO 192 00:07:48,160 --> 00:07:49,800 IMMIGRANTS AND THE HARMFUL 193 00:07:49,800 --> 00:07:53,000 HEALTH IMPACT OF COVID-19 194 00:07:53,000 --> 00:07:53,480 MISINFORMATION. 195 00:07:53,480 --> 00:07:57,320 I SHOULD NOTE DR. CHOKSHI IS 196 00:07:57,320 --> 00:07:59,080 DEEPLY COMMITTED TO HEALTH 197 00:07:59,080 --> 00:08:01,320 EQUITY AS HIS RESEARCH AND 198 00:08:01,320 --> 00:08:02,960 PRACTICE INDICATES. 199 00:08:02,960 --> 00:08:05,680 HE ADVOCATED FOR SAFETY NET 200 00:08:05,680 --> 00:08:07,760 PROVIDERS, NOT JUST A LIFELINE 201 00:08:07,760 --> 00:08:08,800 FOR PEOPLE WHO LACK INSURANCE, 202 00:08:08,800 --> 00:08:11,440 BUT ADDRESSING THE NEEDS TO EARN 203 00:08:11,440 --> 00:08:14,200 THE TRUST OF HISTORICALLY 204 00:08:14,200 --> 00:08:15,080 DISENFRANCHISED COMMUNITIES WHO 205 00:08:15,080 --> 00:08:16,440 MAY HAVE EXPERIENCED 206 00:08:16,440 --> 00:08:16,800 MISTREATMENT. 207 00:08:16,800 --> 00:08:20,200 AS A FINAL NOTE BEFORE HIS 208 00:08:20,200 --> 00:08:21,000 POSITION AT NEW YORK UNIVERSITY 209 00:08:21,000 --> 00:08:22,200 AND NEW YORK CITY DEPARTMENT OF 210 00:08:22,200 --> 00:08:30,560 HEALTH AND MENTAL HYGIENE, DR. 211 00:08:30,560 --> 00:08:32,560 CHOKSHI WAS THE PRINCIPLE HEALTH 212 00:08:32,560 --> 00:08:34,360 ADVISER IN THE OFFICE OF THE 213 00:08:34,360 --> 00:08:38,560 SECRETARY AND APPOINTED BY 214 00:08:38,560 --> 00:08:40,760 PRESIDENT OBAMA TO THE 215 00:08:40,760 --> 00:08:43,600 PREVENTION, PROMOTION AND HEALTH 216 00:08:43,600 --> 00:08:44,400 IN 2016. 217 00:08:44,400 --> 00:08:48,800 I COULD GO ON. 218 00:08:48,800 --> 00:08:52,200 I WILL STOP THERE. 219 00:08:52,200 --> 00:09:41,400 WE ARE CELEBRATED 220 00:09:41,400 --> 00:09:47,600 >> WE WILL START WITH YOUR 221 00:09:47,600 --> 00:09:48,880 HISTORIC CAREER PATH INCLUDING 222 00:09:48,880 --> 00:09:51,000 WHAT MOTIVATED YOU TO SEEK 223 00:09:51,000 --> 00:09:52,560 PUBLIC SERVICE AS PART OF YOR 224 00:09:52,560 --> 00:09:59,040 JOURNEY. 225 00:09:59,040 --> 00:10:02,400 THANK YOU SO MUCH, DR. WEBB 226 00:10:02,400 --> 00:10:02,800 HOOPER. 227 00:10:02,800 --> 00:10:04,680 I WANT TO CALL YOU MONICA 228 00:10:04,680 --> 00:10:08,760 BECAUSE I WANT TO CALL VIVEK 229 00:10:08,760 --> 00:10:11,960 VIVEK. 230 00:10:11,960 --> 00:10:15,200 I'M PROUD TO BE PART OF THIS 231 00:10:15,200 --> 00:10:18,640 AMAZING AMERICAN TO CELEBRATE 232 00:10:18,640 --> 00:10:22,160 ASIAN AMERICAN, NATIVE HAWAIIAN 233 00:10:22,160 --> 00:10:23,040 AND PACIFIC ISLANDER. 234 00:10:23,040 --> 00:10:24,960 THANKS FOR OPENING UP WITH A 235 00:10:24,960 --> 00:10:26,920 CHANCE TO SHARE THINGS THAT ARE 236 00:10:26,920 --> 00:10:27,200 PERSONAL. 237 00:10:27,200 --> 00:10:29,440 I WILL START BY SAYING I 238 00:10:29,440 --> 00:10:32,680 CONSIDER MYSELF A PUBLIC SERVANT 239 00:10:32,680 --> 00:10:35,520 EVEN BEFORE I WAS A DOCTOR. 240 00:10:35,520 --> 00:10:38,320 AND THAT'S BECAUSE I HAD A FEW 241 00:10:38,320 --> 00:10:41,960 EXPERIENCES EARLY IN MY CAREER 242 00:10:41,960 --> 00:10:43,600 THAT PROPELLED ME ON THIS PATH 243 00:10:43,600 --> 00:10:45,400 AND REALLY INSPIRED ME, 244 00:10:45,400 --> 00:10:46,200 PARTICULARLY BECAUSE OF THE 245 00:10:46,200 --> 00:10:49,520 PEOPLE, THE LEADERS THAT I MET 246 00:10:49,520 --> 00:10:50,920 WHO I THOUGHT WERE TRYING TO 247 00:10:50,920 --> 00:10:53,040 SHAPE A BETTER WORLD FOR ALL OF 248 00:10:53,040 --> 00:10:53,360 US. 249 00:10:53,360 --> 00:10:55,560 SO I'LL JUST SHARE A LITTLE BIT 250 00:10:55,560 --> 00:10:57,800 ABOUT TWO OF THOSE EXPERIENCES. 251 00:10:57,800 --> 00:10:59,680 THE FIRST WAS AT THE TURN OF THE 252 00:10:59,680 --> 00:11:04,720 CENTURY, WHEN WE WERE IN THE 253 00:11:04,720 --> 00:11:08,080 THROES OF ANOTHER PANDEMIC, THE 254 00:11:08,080 --> 00:11:08,600 HIV/AIDS PANDEMIC. 255 00:11:08,600 --> 00:11:15,960 I REMEMBER GOING TO PLACES LIKE 256 00:11:15,960 --> 00:11:18,480 INDIA WHERE ALL OF MY EXTENDED 257 00:11:18,480 --> 00:11:23,480 FAMILY LIVE OR SUB-SAHARAN 258 00:11:23,480 --> 00:11:27,200 AFRICA OR EAST ASIA, THESE 259 00:11:27,200 --> 00:11:28,840 ANTI-RETRO VIRALS THAT CHANGED 260 00:11:28,840 --> 00:11:30,320 THE HIV/AIDS IN THE UNITED 261 00:11:30,320 --> 00:11:31,560 STATES WERE NOT ACTUALLY GETTING 262 00:11:31,560 --> 00:11:34,800 TO THE PLACES WHERE THEY WERE 263 00:11:34,800 --> 00:11:35,880 MOST NEEDED. 264 00:11:35,880 --> 00:11:40,280 AND THIS WAS SOMETHING THAT WAS 265 00:11:40,280 --> 00:11:44,920 VERY DISMAYING TO ME AS A YOUNG, 266 00:11:44,920 --> 00:11:46,400 IDEALISTIC PERSON, PARTICULARLY 267 00:11:46,400 --> 00:11:47,720 SOMEONE WHO BELIEVED SO STRONGLY 268 00:11:47,720 --> 00:11:50,520 IN THE POWER OF SCIENCE AND 269 00:11:50,520 --> 00:11:53,080 INNOVATION TO HAVE CREATED THESE 270 00:11:53,080 --> 00:11:54,960 MEDICINES IN THE FIRST PLACE. 271 00:11:54,960 --> 00:11:57,680 THEY WERE SET TO HAVE A 272 00:11:57,680 --> 00:11:59,400 SO-CALLED LAZARUS EFFECT IN 273 00:11:59,400 --> 00:12:01,000 TERMS OF BRINGING PEOPLE BACK 274 00:12:01,000 --> 00:12:03,600 FROM THE BRINK OF DEATH AND YET, 275 00:12:03,600 --> 00:12:05,040 WE AS A SOCIETY COULDN'T FIGURE 276 00:12:05,040 --> 00:12:06,880 OUT HOW TO GET THEM TO THE 277 00:12:06,880 --> 00:12:09,160 PLACES WHERE THEY WERE MOST 278 00:12:09,160 --> 00:12:09,400 NEEDED. 279 00:12:09,400 --> 00:12:12,760 AND SO MY LESSON FROM THAT 280 00:12:12,760 --> 00:12:14,600 EXPERIENCE WAS THAT SCIENCE AND 281 00:12:14,600 --> 00:12:15,600 INNOVATION ARE NOT ENOUGH. 282 00:12:15,600 --> 00:12:19,640 AND IT IS REALLY ABOUT ACCESS 283 00:12:19,640 --> 00:12:23,040 AND SOLVING A DIFFERENT TYPE OF 284 00:12:23,040 --> 00:12:25,160 PROBLEM, A HUMAN PROBLEM, TO GET 285 00:12:25,160 --> 00:12:28,120 THEM WHERE THEY WERE MOST 286 00:12:28,120 --> 00:12:28,360 NEEDED. 287 00:12:28,360 --> 00:12:30,520 AND THEN THE SECOND EXPERIENCE 288 00:12:30,520 --> 00:12:32,960 WAS WHERE I WAS -- WHERE I GREW 289 00:12:32,960 --> 00:12:37,720 UP IN LOUISIANA, WHICH WAS HIT 290 00:12:37,720 --> 00:12:40,560 BY THE NATURAL DISASTER 291 00:12:40,560 --> 00:12:42,600 HURRICANE KATRINA IN 2005. 292 00:12:42,600 --> 00:12:44,440 MY FIRST EXPERIENCE IN PUBLIC 293 00:12:44,440 --> 00:12:47,760 HEALTH WAS AT THE HEALTH 294 00:12:47,760 --> 00:12:48,400 DEPARTMENT BOTH BEFORE AND AFTER 295 00:12:48,400 --> 00:12:49,800 HURRICANE KATRINA. 296 00:12:49,800 --> 00:12:54,400 I SAW IN A VERY VISCERAL WAY HOW 297 00:12:54,400 --> 00:12:56,200 DISASTERS, WHETHER IT IS A 298 00:12:56,200 --> 00:13:00,560 PANDEMIC OR A HURRICANE, HOW 299 00:13:00,560 --> 00:13:02,800 THEY MOST AFFECTED PEOPLE WHO 300 00:13:02,800 --> 00:13:03,640 WERE ALREADY LIVING ON THE 301 00:13:03,640 --> 00:13:07,600 MARGINS. 302 00:13:07,600 --> 00:13:09,400 AND CAUSED THOSE PEOPLE TO BE 303 00:13:09,400 --> 00:13:10,840 FURTHER MARGINALIZED. 304 00:13:10,840 --> 00:13:12,880 I SAW THIS WITH MY FAMILY 305 00:13:12,880 --> 00:13:14,920 MEMBERS, WITH MY FRIENDS, THE 306 00:13:14,920 --> 00:13:19,000 PEOPLE WHO I HAD GROWN UP WITH 307 00:13:19,000 --> 00:13:24,080 DURING HURRICANE KATRINA. 308 00:13:24,080 --> 00:13:25,640 FOR BOTH OF THOSE EXPERIENCES IT 309 00:13:25,640 --> 00:13:27,560 WAS VERY CLEAR TO ME THAT 310 00:13:27,560 --> 00:13:29,600 GOVERNMENT WAS A POTENTIAL FORCE 311 00:13:29,600 --> 00:13:30,640 FOR GOOD. 312 00:13:30,640 --> 00:13:31,840 DON'T GET ME WRONG. 313 00:13:31,840 --> 00:13:34,120 I SAW WAYS IN WHICH GOVERNMENT 314 00:13:34,120 --> 00:13:36,000 DROPPED THE BALL AND WAS NOT 315 00:13:36,000 --> 00:13:39,080 ABLE TO DELIVER ON ITS PROMISE, 316 00:13:39,080 --> 00:13:41,360 BUT IT WAS VERY CLEAR TO ME TO 317 00:13:41,360 --> 00:13:43,600 TAKE ON THOSE ISSUES AROUND 318 00:13:43,600 --> 00:13:46,720 MOVING FROM INNOVATION TO ACCESS 319 00:13:46,720 --> 00:13:48,440 AS WELL AS ADDRESSING EQUITY, 320 00:13:48,440 --> 00:13:50,000 PARTICULARLY FOR PEOPLE WHO ARE 321 00:13:50,000 --> 00:13:52,440 ALREADY LIVING ON THE MARGINS, 322 00:13:52,440 --> 00:13:53,280 THAT PUBLIC SERVICE WOULD BE A 323 00:13:53,280 --> 00:13:54,840 BIG PART OF THAT. 324 00:13:54,840 --> 00:13:57,040 AND THE LAST THING I WILL SAY TO 325 00:13:57,040 --> 00:14:00,080 FAST FORWARD TO MORE OF THE 326 00:14:00,080 --> 00:14:02,120 PRESENT DAY, IS THAT WHEN I HAD 327 00:14:02,120 --> 00:14:04,080 THE PRIVILEGE OF SERVING AS NEW 328 00:14:04,080 --> 00:14:05,360 YORK CITY'S HEALTH COMMISSIONER, 329 00:14:05,360 --> 00:14:08,480 I LOVED THE FEELING OF GETTING 330 00:14:08,480 --> 00:14:12,840 UP EVERY MORNING AND KNOWING 331 00:14:12,840 --> 00:14:15,120 WITH CRYSTAL CLEAR CONVICTION 332 00:14:15,120 --> 00:14:17,560 WHAT MY PURPOSE WAS. 333 00:14:17,560 --> 00:14:20,040 AND MY PURPOSE WAS SIMPLY TO TRY 334 00:14:20,040 --> 00:14:22,800 TO SAVE LIVES AND PREVENT 335 00:14:22,800 --> 00:14:23,680 SUFFERING EACH DAY. 336 00:14:23,680 --> 00:14:25,760 AND I DON'T THINK THERE ARE TOO 337 00:14:25,760 --> 00:14:27,520 MANY JOBS WHERE YOU GET TO DO 338 00:14:27,520 --> 00:14:32,680 THAT, WHERE YOU KNOW THAT 339 00:14:32,680 --> 00:14:34,080 ULTIMATELY, YOU KNOW, WLFR IT'S 340 00:14:34,080 --> 00:14:35,360 E-MAILS AND MEETINGS AND POWER 341 00:14:35,360 --> 00:14:36,920 POINTS AND ALL OF THE OTHER 342 00:14:36,920 --> 00:14:39,000 THINGS WE DO IN OUR DAY-TO-DAY 343 00:14:39,000 --> 00:14:42,880 OF WORK, THAT ULTIMATELY THEY 344 00:14:42,880 --> 00:14:46,360 HAVE TO SERVE THIS NOBLE PURPOSE 345 00:14:46,360 --> 00:14:48,960 AND FOR ME THAT WAS SO 346 00:14:48,960 --> 00:14:50,600 MOTIVATING AND CONTINUES TO BE. 347 00:14:50,600 --> 00:14:52,160 >> THANK YOU SO MUCH FOR SHARING 348 00:14:52,160 --> 00:14:53,000 THAT. 349 00:14:53,000 --> 00:14:54,200 IT IS REALLY FANTASTIC. 350 00:14:54,200 --> 00:14:55,840 I THINK YOU SAID A LOT THAT 351 00:14:55,840 --> 00:14:58,920 REALLY RESONATES WITH MANY OF US 352 00:14:58,920 --> 00:15:01,520 AND I CAN APPRECIATE HEARING 353 00:15:01,520 --> 00:15:02,840 ABOUT THOSE TWO KIND OF KEY 354 00:15:02,840 --> 00:15:04,280 AREAS AND PAST EVENTS THAT 355 00:15:04,280 --> 00:15:06,520 REALLY INSPIRED YOU IN YOUR 356 00:15:06,520 --> 00:15:07,200 CAREER. 357 00:15:07,200 --> 00:15:09,760 DR. MURTHY, AS YOU REFLECT ON 358 00:15:09,760 --> 00:15:11,480 THIS QUESTION ABOUT YOUR OWN 359 00:15:11,480 --> 00:15:13,280 PATH, COULD YOU SHARE ANY KEY 360 00:15:13,280 --> 00:15:16,120 CAREER CHALLENGES, MAYBE, THAT 361 00:15:16,120 --> 00:15:17,840 YOU HAVE HAD TO OVERCOME THUS 362 00:15:17,840 --> 00:15:19,840 FAR AS A PUBLIC HEALTH LEADER IN 363 00:15:19,840 --> 00:15:22,040 ADDITION TO ANY OTHER ASPECTS OF 364 00:15:22,040 --> 00:15:22,640 YOUR JOURNEY. 365 00:15:22,640 --> 00:15:25,400 >> WELL, THANK YOU, MONICA, FOR 366 00:15:25,400 --> 00:15:26,000 THAT QUESTION. 367 00:15:26,000 --> 00:15:27,920 I'M JUST SO GRATEFUL TO DAVE 368 00:15:27,920 --> 00:15:28,800 ALSO FOR BEING HERE AND JOINING 369 00:15:28,800 --> 00:15:31,360 US. 370 00:15:31,360 --> 00:15:35,120 JUST TO SAY TO BEGIN ALSO THAT 371 00:15:35,120 --> 00:15:37,320 DAVE IS SOMEBODY I HAVE SEEN AND 372 00:15:37,320 --> 00:15:39,280 GOTTEN TO KNOW AND BEEN 373 00:15:39,280 --> 00:15:40,800 PRIVILEGED TO BE FRIENDS WITH 374 00:15:40,800 --> 00:15:41,760 OVER THE YEARS. 375 00:15:41,760 --> 00:15:44,600 I HAD A CHANCE TO WORK WITH 376 00:15:44,600 --> 00:15:45,680 DAVE, IN FACT, WHEN WE WERE BOTH 377 00:15:45,680 --> 00:15:49,400 TRAINING IN RESIDENCY AT BRIGHAM 378 00:15:49,400 --> 00:15:50,200 WOMEN'S HOSPITAL IN BOSTON. 379 00:15:50,200 --> 00:15:53,000 I THINK ONE OF THE THINGS I 380 00:15:53,000 --> 00:15:54,880 ADMIRE SO MUCH ABOUT HIM WHICH 381 00:15:54,880 --> 00:15:56,760 IS WHY I'M SO GRATEFUL HE 382 00:15:56,760 --> 00:15:58,840 ACCEPTED OUR INVITATION TO JOIN 383 00:15:58,840 --> 00:16:00,960 US TODAY, THAT SPIRIT OF SERVICE 384 00:16:00,960 --> 00:16:02,400 HE SPOKE ABOUT HAS BEEN A 385 00:16:02,400 --> 00:16:03,720 THROUGH LINE THROUGH HIS WORK. 386 00:16:03,720 --> 00:16:05,960 HE IS A GREAT EXAMPLE OF HOW YOU 387 00:16:05,960 --> 00:16:08,200 CAN SERVE IN SO MANY CAPACITIES, 388 00:16:08,200 --> 00:16:09,720 WHETHER YOU ARE THE COMMISSIONER 389 00:16:09,720 --> 00:16:12,400 OF HEALTH FOR THE NATION'S 390 00:16:12,400 --> 00:16:13,840 LARGEST CITY, WHETHER YOU ARE 391 00:16:13,840 --> 00:16:16,360 SITTING AT THE BEDSIDE, AS I 392 00:16:16,360 --> 00:16:19,200 WATCHED HIM DO, TAKING CARE OF 393 00:16:19,200 --> 00:16:21,080 PATIENTS SOME OF THEIR DARKEST 394 00:16:21,080 --> 00:16:22,520 HOURS OR WHETHER YOU ARE A 395 00:16:22,520 --> 00:16:24,560 STUDENT FIGHTING AND WORKING 396 00:16:24,560 --> 00:16:26,400 HARD TO GET ACCESS TO ESSENTIAL 397 00:16:26,400 --> 00:16:28,160 MEDICINES TO PEOPLE AROUND THE 398 00:16:28,160 --> 00:16:30,360 WORLD WHICH IS WHAT HE DID AS A 399 00:16:30,360 --> 00:16:31,960 STUDENT AT DUKE UNIVERSITY AND 400 00:16:31,960 --> 00:16:40,000 YEARS AFTER IN MEDICAL SCHOOL. 401 00:16:40,000 --> 00:16:42,000 HE IS A WONDERFUL ROLE MODEL FOR 402 00:16:42,000 --> 00:16:42,800 ME. 403 00:16:42,800 --> 00:16:46,640 THE ABILITY TO SERVE IS AN 404 00:16:46,640 --> 00:16:49,000 IDENTITY WE CAN BRING IN OUR 405 00:16:49,000 --> 00:16:49,200 LIFE. 406 00:16:49,200 --> 00:16:50,880 A VERY IMPORTANT LESSON FOR ME 407 00:16:50,880 --> 00:16:52,080 TO REMEMBER AND US TO SHARE WITH 408 00:16:52,080 --> 00:16:54,640 OUR LISTENERS AND VIEWERS TODAY, 409 00:16:54,640 --> 00:16:56,280 ESPECIALLY GIVEN WE HAVE SO MUCH 410 00:16:56,280 --> 00:16:58,040 NEED IN OUR COUNTRY RIGHT NOW 411 00:16:58,040 --> 00:17:00,800 WHEN IT COMES TO HEALTH. 412 00:17:00,800 --> 00:17:03,480 WE NEED PEOPLE TO SERVE IN ALL 413 00:17:03,480 --> 00:17:04,800 WAYS POSSIBLE. 414 00:17:04,800 --> 00:17:06,880 FOR ME, YOU ASKED ABOUT 415 00:17:06,880 --> 00:17:08,480 HARDSHIPS OR CHALLENGES ON MY 416 00:17:08,480 --> 00:17:09,280 CAREER PATH. 417 00:17:09,280 --> 00:17:11,360 YOU KNOW, I THINK ONE OF THE 418 00:17:11,360 --> 00:17:16,040 CHALLENGES I HAVE FACED IS AN 419 00:17:16,040 --> 00:17:18,000 INTERNAL ONE OF OVER VARIOUS 420 00:17:18,000 --> 00:17:20,120 TIMES IN MY CAREER I DIDN'T HAVE 421 00:17:20,120 --> 00:17:22,000 CLARITY OF WHAT I SHOULD DO IN 422 00:17:22,000 --> 00:17:23,200 ORDER TO ULTIMATELY FIND A SENSE 423 00:17:23,200 --> 00:17:25,240 OF REAL MEANING AND CONTRIBUTING 424 00:17:25,240 --> 00:17:26,480 THE WAY I COULD BEST. 425 00:17:26,480 --> 00:17:28,600 YOU KNOW, THIS WAS REALLY A 426 00:17:28,600 --> 00:17:30,080 CHALLENGE FOR ME PARTICULARLY 427 00:17:30,080 --> 00:17:32,000 DURING MY RESIDENCY TRAINING THE 428 00:17:32,000 --> 00:17:33,280 YEARS AFTER WHERE I WAS DOING A 429 00:17:33,280 --> 00:17:34,360 LOT OF SEARCHING. 430 00:17:34,360 --> 00:17:37,200 IT WAS A CHALLENGE AFTER MY 431 00:17:37,200 --> 00:17:38,680 FIRST STINT AS SURGEON GENERAL 432 00:17:38,680 --> 00:17:40,880 WHERE I WASN'T QUITE SURE WHAT 433 00:17:40,880 --> 00:17:42,600 THE BEST WAY WAS FOR ME TO 434 00:17:42,600 --> 00:17:44,280 CONTINUE CONTRIBUTING. 435 00:17:44,280 --> 00:17:45,840 I SUSPECT THAT MANY OF US HAVE 436 00:17:45,840 --> 00:17:47,840 PERIODS IN OUR LIFE WHERE WE ARE 437 00:17:47,840 --> 00:17:49,880 NOT SURE OF WHAT WE WANT TO DO 438 00:17:49,880 --> 00:17:52,320 OR HOW WE WANT TO CONTRIBUTE. 439 00:17:52,320 --> 00:17:53,800 SOMETIMES THERE CAN BE -- THAT 440 00:17:53,800 --> 00:17:55,280 CAN BE HARD FOR A LOT OF 441 00:17:55,280 --> 00:17:57,160 REASONS, BUT ONE OF THEM IS SO 442 00:17:57,160 --> 00:17:59,120 MANY TIMES OUR IDENTITY AND OUR 443 00:17:59,120 --> 00:18:00,520 SENSE OF PURPOSE IS VERY DEEPLY 444 00:18:00,520 --> 00:18:02,600 TIED TO OUR WORK, EVERYONE 445 00:18:02,600 --> 00:18:03,840 THOUGH WE HAVE OTHER ROLES WE 446 00:18:03,840 --> 00:18:06,680 PLAY AS A PARENT, PERHAPS, AS A 447 00:18:06,680 --> 00:18:09,680 SON OR DAUGHTER, AS A FRIEND. 448 00:18:09,680 --> 00:18:11,360 BUT SOMETIMES WHEN WE ARE NOT 449 00:18:11,360 --> 00:18:14,400 QUITE SURE WHAT TO DO CAN REALLY 450 00:18:14,400 --> 00:18:15,600 CHALLENGE OUR FUNDAMENTAL SENSE 451 00:18:15,600 --> 00:18:16,800 OF IDENTITY. 452 00:18:16,800 --> 00:18:18,160 I WENT THROUGH PERIODS IN MY 453 00:18:18,160 --> 00:18:20,040 LIFE WHERE I EXPERIENCED THAT 454 00:18:20,040 --> 00:18:21,200 AND STRUGGLED WITH THAT. 455 00:18:21,200 --> 00:18:23,200 WHAT REALLY HELPED ME DURING 456 00:18:23,200 --> 00:18:25,120 THOSE TIMES WAS, ONE, TAKING 457 00:18:25,120 --> 00:18:26,800 SOME TIME TO GET MORE AND MORE 458 00:18:26,800 --> 00:18:28,880 CLEAR ABOUT WHAT I CARED ABOUT 459 00:18:28,880 --> 00:18:31,240 AND WHO I WAS AND LETTING THE 460 00:18:31,240 --> 00:18:33,240 NOISE SETTLE AROUND ME, WHICH IS 461 00:18:33,240 --> 00:18:34,920 MUCH EASIER SAID THAN DONE. 462 00:18:34,920 --> 00:18:37,800 THE OTHER THING THAT HELPED ME 463 00:18:37,800 --> 00:18:39,960 WAS HAVING ANCHORS AND 464 00:18:39,960 --> 00:18:41,160 SPECIFICALLY FRIENDS WHO CAN 465 00:18:41,160 --> 00:18:43,280 REMIND ME OF WHAT MATTERS TO ME. 466 00:18:43,280 --> 00:18:44,920 WHO COULD TELL ME IF I WAS 467 00:18:44,920 --> 00:18:47,000 TRYING TO SOUND EXCITED ABOUT A 468 00:18:47,000 --> 00:18:49,240 JOB WHEREAS I REALLY WASN'T 469 00:18:49,240 --> 00:18:50,520 EXCITED ABOUT IT. 470 00:18:50,520 --> 00:18:51,440 I REMEMBER A PARTICULAR MOMENT 471 00:18:51,440 --> 00:18:53,840 WHEN I WAS THINKING ABOUT A JOB, 472 00:18:53,840 --> 00:18:55,400 I REMEMBER AFTER MY FIRST STINT 473 00:18:55,400 --> 00:18:56,800 AS SURGEON GENERAL WHERE I 474 00:18:56,800 --> 00:18:58,120 WASN'T QUITE SURE IF I SHOULD 475 00:18:58,120 --> 00:19:00,800 TAKE IT, BUT IT FELT LIKE A JOB 476 00:19:00,800 --> 00:19:02,840 THAT WOULD GIVE ME A SENSE OF 477 00:19:02,840 --> 00:19:04,440 IDENTITY AND CLARITY AND 478 00:19:04,440 --> 00:19:04,680 PURPOSE. 479 00:19:04,680 --> 00:19:06,360 I CALLED UP DAVE AND ONE OF OUR 480 00:19:06,360 --> 00:19:07,800 OTHER FRIENDS AND SAID, THIS 481 00:19:07,800 --> 00:19:08,680 OPPORTUNITY CAME UP. 482 00:19:08,680 --> 00:19:10,520 I THINK IT SOUNDS LIKE IT COULD 483 00:19:10,520 --> 00:19:11,200 BE GOOD. 484 00:19:11,200 --> 00:19:13,800 AT THE END OF THAT, MY 485 00:19:13,800 --> 00:19:17,280 PRESENTATION, IF YOU WILL, OF 486 00:19:17,280 --> 00:19:19,760 THE IDEA, DAVE AND OUR OTHER 487 00:19:19,760 --> 00:19:20,760 FRIEND SAID YOU KNOW WHAT? 488 00:19:20,760 --> 00:19:22,800 YOU ARE SAYING ALL THE RIGHT 489 00:19:22,800 --> 00:19:24,760 THINGS, BUT YOU DON'T SOUND 490 00:19:24,760 --> 00:19:25,120 EXCITED. 491 00:19:25,120 --> 00:19:27,240 WE ARE NOT SURE IT RESONATES 492 00:19:27,240 --> 00:19:27,800 WITH YOU. 493 00:19:27,800 --> 00:19:29,240 THE TRUTH IS IN THE END THEY 494 00:19:29,240 --> 00:19:30,200 WERE RIGHT. 495 00:19:30,200 --> 00:19:32,080 THE BEST PART OF THAT JOB WOULD 496 00:19:32,080 --> 00:19:33,800 HAVE BEEN GETTING IT, NOT DOING 497 00:19:33,800 --> 00:19:34,200 IT. 498 00:19:34,200 --> 00:19:36,200 THAT IS A CRITICAL DISTINCTION. 499 00:19:36,200 --> 00:19:38,360 SO ANYWAY, THE PEOPLE HAVE 500 00:19:38,360 --> 00:19:40,000 REALLY BEEN SO CRITICAL FOR ME 501 00:19:40,000 --> 00:19:42,280 IN NAVIGATING THOSE DIFFICULT 502 00:19:42,280 --> 00:19:42,520 MOMENTS. 503 00:19:42,520 --> 00:19:50,400 I WOULD SAY THAT THE LAST THING 504 00:19:50,400 --> 00:19:52,080 OF CHALLENGES AND HARDSHIPS, 505 00:19:52,080 --> 00:19:54,360 THIS IS GOING TO SEEM LIKE A 506 00:19:54,360 --> 00:19:56,040 FAIRLY ROUTINE ONE BUT ALL OF US 507 00:19:56,040 --> 00:19:56,800 HAVE EXPERIENCED. 508 00:19:56,800 --> 00:19:58,480 ALL OF OUR JOBS HAVE TAXES, IF 509 00:19:58,480 --> 00:19:59,240 YOU WILL. 510 00:19:59,240 --> 00:20:00,960 I THINK AS A TAX OF THE STUFF 511 00:20:00,960 --> 00:20:03,400 YOU DON'T REALLY WANT TO DO BUT 512 00:20:03,400 --> 00:20:04,800 YOU DO SO YOU CAN DO THE STUFF 513 00:20:04,800 --> 00:20:07,200 YOU WANT TO DO THAT MAKES YOUR 514 00:20:07,200 --> 00:20:09,680 HEART SING AND MAKE YOU FEEL 515 00:20:09,680 --> 00:20:11,080 EXCITED AND ENGAGED. 516 00:20:11,080 --> 00:20:11,600 THAT'S OKAY. 517 00:20:11,600 --> 00:20:14,760 NOT EVERY PART OF YOUR JOB CAN 518 00:20:14,760 --> 00:20:16,040 EXCITE YOU 100%. 519 00:20:16,040 --> 00:20:17,640 BUT SOMETIMES I THINK I FOUND 520 00:20:17,640 --> 00:20:20,600 THAT ONE OF THE CHALLENGES OVER 521 00:20:20,600 --> 00:20:21,280 THE YEARS, YOU KNOW, ESPECIALLY 522 00:20:21,280 --> 00:20:23,360 WHEN I WAS OUT OF TRAINING, I 523 00:20:23,360 --> 00:20:26,840 WAS FIGURING OUT HOW DO I MANAGE 524 00:20:26,840 --> 00:20:28,520 THOSE CHALLENGING PARTS OF THE 525 00:20:28,520 --> 00:20:30,360 JOB AND STAY FOCUSED ON THE 526 00:20:30,360 --> 00:20:31,920 PARTS THAT ARE REALLY EXCITING. 527 00:20:31,920 --> 00:20:34,640 ONE OF THE THINGS I FOUND LIKE 528 00:20:34,640 --> 00:20:36,480 IN MY FIRST STINT AS SURGEON 529 00:20:36,480 --> 00:20:38,320 GENERAL TO DO THAT I NEEDED TO 530 00:20:38,320 --> 00:20:39,880 GET CLOSE TO THE PEOPLE I WAS 531 00:20:39,880 --> 00:20:41,280 TRYING TO SERVE. 532 00:20:41,280 --> 00:20:43,480 SO THAT MEANT I NEEDED TO GO AND 533 00:20:43,480 --> 00:20:45,000 TRAVEL AND MEET PEOPLE IN 534 00:20:45,000 --> 00:20:46,800 COMMUNITIES WHO ARE RECEIVING 535 00:20:46,800 --> 00:20:48,800 OUR MESSAGES, FOLKS WHO MIGHT 536 00:20:48,800 --> 00:20:51,120 HAVE BEEN READING OUR REPORTS. 537 00:20:51,120 --> 00:20:53,440 FOLKS WHO WERE TRYING TO ENGAGE 538 00:20:53,440 --> 00:20:57,280 IN BROADER INITIATIVES, AROUND 539 00:20:57,280 --> 00:20:58,960 ADDICTION OR E-CIGARETTES. 540 00:20:58,960 --> 00:21:00,200 I FOUND BEING IN COMMUNITIES AND 541 00:21:00,200 --> 00:21:01,600 GETTING CLOSE TO THE PEOPLE WE 542 00:21:01,600 --> 00:21:03,640 WERE TRYING TO SERVE, THAT WAS 543 00:21:03,640 --> 00:21:06,560 SO IMMENSELY CLARIFYING AND 544 00:21:06,560 --> 00:21:08,320 REJUVENATING AND HELPED ME SEE 545 00:21:08,320 --> 00:21:09,800 MORE CLEARLY WHAT WE HAD TO DO 546 00:21:09,800 --> 00:21:11,560 AND CHANGE OUR APPROACH. 547 00:21:11,560 --> 00:21:13,280 IT ALSO JUST GAVE ME A SHOT IN 548 00:21:13,280 --> 00:21:15,200 THE ARM, BY SHOWING ME, HEY, 549 00:21:15,200 --> 00:21:16,480 LOOK, THERE ARE PEOPLE WHO HAVE 550 00:21:16,480 --> 00:21:18,800 REAL NEEDS HERE, WHOSE LIVES WE 551 00:21:18,800 --> 00:21:21,440 COULD MAKE A REAL DIFFERENCE IN 552 00:21:21,440 --> 00:21:25,040 THE WE KEEP AT IT, IF WE KEEP 553 00:21:25,040 --> 00:21:25,320 FOCUSING. 554 00:21:25,320 --> 00:21:26,880 I TRY TO REMEMBER THAT NOW IN 555 00:21:26,880 --> 00:21:28,000 THIS SECOND OPPORTUNITY TO 556 00:21:28,000 --> 00:21:28,200 SERVE. 557 00:21:28,200 --> 00:21:30,200 I TELL MY TEAM THIS OFTEN, WHEN 558 00:21:30,200 --> 00:21:32,120 WE ARE STARTING TO FEEL WE ARE 559 00:21:32,120 --> 00:21:34,160 GETTING A LITTLE BIT CYNICAL OR 560 00:21:34,160 --> 00:21:37,320 FRUSTRATED OR BURNED OUT, THAT 561 00:21:37,320 --> 00:21:39,000 IS A TIME WHERE WE SHOULD THINK 562 00:21:39,000 --> 00:21:41,600 ABOUT HOW WE CAN GET CLOSE AGAIN 563 00:21:41,600 --> 00:21:44,480 TO THE PEOPLE WE ARE SEEKING TO 564 00:21:44,480 --> 00:21:45,040 SERVE. 565 00:21:45,040 --> 00:21:47,040 VISITING THEM OR IN THIS DAY AND 566 00:21:47,040 --> 00:21:48,720 AGE ZOOM CALLS WITH ROUNDTABLES 567 00:21:48,720 --> 00:21:51,080 OF STUDENTS AND CLINICIANS AND 568 00:21:51,080 --> 00:21:52,000 OTHERS SEEKING TO ENGAGE. 569 00:21:52,000 --> 00:21:54,640 LET'S LISTEN, LET'S LEARN, LET'S 570 00:21:54,640 --> 00:21:56,240 STAY CLOSE AND THAT CAN SUSTAIN 571 00:21:56,240 --> 00:22:00,400 US IN 'OUR JOURNEY TO SERVE. 572 00:22:00,400 --> 00:22:04,560 >> THAT'S FANTASTIC ADVICE. 573 00:22:04,560 --> 00:22:05,800 ONE OF THE THINGS THAT STRIKES 574 00:22:05,800 --> 00:22:07,920 ME ABOUT WHAT YOU SHARED, I 575 00:22:07,920 --> 00:22:09,000 THINK IT IS TRUE. 576 00:22:09,000 --> 00:22:10,840 MANY PEOPLE ARE UNCERTAIN ABOUT 577 00:22:10,840 --> 00:22:12,120 THEIR PATH AND THEIR JOURNEY AND 578 00:22:12,120 --> 00:22:13,200 HOW THEY CAN CONTRIBUTE. 579 00:22:13,200 --> 00:22:15,320 IT SHOWS THAT EVERYONE SOMEONE 580 00:22:15,320 --> 00:22:16,640 LIKE YOU WITH THE LEVEL OF 581 00:22:16,640 --> 00:22:19,920 EDUCATION THAT YOU HAVE, 582 00:22:19,920 --> 00:22:21,400 EXPERIENCE, CREDENTIALS, THAT 583 00:22:21,400 --> 00:22:23,920 CAN STILL EXIST. 584 00:22:23,920 --> 00:22:29,120 I REALLY APPRECIATE BECAUSE AT 585 00:22:29,120 --> 00:22:30,600 NIMHD WE ENGAGE DIRECTLY WITH 586 00:22:30,600 --> 00:22:31,800 OUR COMMUNITY MEMBERS AND PEOPLE 587 00:22:31,800 --> 00:22:33,880 WE ARE SERVING THROUGH OUR 588 00:22:33,880 --> 00:22:34,440 SCIENCE AND PRACTICE. 589 00:22:34,440 --> 00:22:36,560 SO I THINK THAT IS REALLY 590 00:22:36,560 --> 00:22:36,800 FANTASTIC. 591 00:22:36,800 --> 00:22:38,920 I DO WANT TO MOVE INTO ANOTHER 592 00:22:38,920 --> 00:22:39,200 TOPIC. 593 00:22:39,200 --> 00:22:41,600 IT IS GREAT TO HAVE SOME 594 00:22:41,600 --> 00:22:41,920 BACKGROUND. 595 00:22:41,920 --> 00:22:43,840 FEEL FREE TO JUMP IN WITH ANY 596 00:22:43,840 --> 00:22:44,760 QUESTIONS OR COMMENTS. 597 00:22:44,760 --> 00:22:47,680 I DO WANT TO TALK A BIT ABOUT 598 00:22:47,680 --> 00:22:48,040 TRUST. 599 00:22:48,040 --> 00:22:51,520 WE KNOW TRUST HAS BEEN PART OF 600 00:22:51,520 --> 00:22:54,480 THE DISCOURSE IN THE PAST THREE 601 00:22:54,480 --> 00:22:56,760 YEARS BECAUSE OF THE COVID-19 602 00:22:56,760 --> 00:22:57,080 PANDEMIC. 603 00:22:57,080 --> 00:22:58,520 THERE ARE DATA THAT INDICATES 604 00:22:58,520 --> 00:23:01,480 LOW LEVELS OF TRUST AND ELEVATED 605 00:23:01,480 --> 00:23:04,200 MISTRUST IN SCIENCE AND PUBLIC 606 00:23:04,200 --> 00:23:05,840 HEALTH EFFORTS RELATED TO THE 607 00:23:05,840 --> 00:23:06,320 COVID-19 EXPERIENCE. 608 00:23:06,320 --> 00:23:08,360 I WOULD REALLY LIKE IF EACH OF 609 00:23:08,360 --> 00:23:10,760 YOU COULD REFLECT ON THIS ISSUE 610 00:23:10,760 --> 00:23:12,760 OF DISTRUST WITHIN SCIENCE, 611 00:23:12,760 --> 00:23:14,520 MEDICINE, AND PUBLIC HEALTH, 612 00:23:14,520 --> 00:23:16,080 SPECIFICALLY THINKING ABOUT THE 613 00:23:16,080 --> 00:23:19,160 PERSPECTIVES AND VIEWS OF ASIAN 614 00:23:19,160 --> 00:23:21,200 AMERICAN, NATIVE HAWAIIAN AND 615 00:23:21,200 --> 00:23:22,520 PACIFIC ISLANDER COMMUNITIES. 616 00:23:22,520 --> 00:23:23,920 SO I WILL DIRECT MY FIRST 617 00:23:23,920 --> 00:23:32,480 QUESTION IN THIS AREA TO DR. 618 00:23:32,480 --> 00:23:32,760 CHOKSHI. 619 00:23:32,760 --> 00:23:34,440 THE LEADER IN NEW YORK CITY, THE 620 00:23:34,440 --> 00:23:36,200 EPICENTER OF COVID-19 IN THE 621 00:23:36,200 --> 00:23:36,880 U.S. 622 00:23:36,880 --> 00:23:38,400 CAN YOU SHARE EXPERIENCE AROUND 623 00:23:38,400 --> 00:23:40,520 MANAGING DISTRUST IN SCIENCE AND 624 00:23:40,520 --> 00:23:44,800 MEDICINE? 625 00:23:44,800 --> 00:23:47,960 >> WELL, THANKS, MONICA, FOR 626 00:23:47,960 --> 00:23:49,680 ARTICULATING IT SO BEAUTIFULLY, 627 00:23:49,680 --> 00:23:51,640 WHAT THE CHALLENGES ARE AROUND 628 00:23:51,640 --> 00:23:52,440 TRUST AND DISTRUST. 629 00:23:52,440 --> 00:23:54,520 THERE ARE A COUPLE OF THINGS I 630 00:23:54,520 --> 00:23:56,760 LIKE TO SAY AT THE OUTSET WHEN 631 00:23:56,760 --> 00:24:00,160 WE DIVE INTO THIS TOPIC. 632 00:24:00,160 --> 00:24:02,000 THE FIRST IS TO MAKE SURE WE ARE 633 00:24:02,000 --> 00:24:03,920 ORIENTING AROUND IT IN THE RIGHT 634 00:24:03,920 --> 00:24:04,080 WAY. 635 00:24:04,080 --> 00:24:05,960 BECAUSE FOR ME, THE QUESTION 636 00:24:05,960 --> 00:24:11,600 SHOULD NOT BE POSED AS WHY DOES 637 00:24:11,600 --> 00:24:15,080 X PERSON OR Y GROUP HARBOR 638 00:24:15,080 --> 00:24:17,400 MISTRUST OR DISTRUST? 639 00:24:17,400 --> 00:24:18,920 THE QUESTION PARTICULARLY FOR 640 00:24:18,920 --> 00:24:26,280 THOSE OF US WHO ARE COMMITTED TO 641 00:24:26,280 --> 00:24:27,720 PUBLIC SERVICE, ARE WE WORTHY OF 642 00:24:27,720 --> 00:24:31,160 THE TRUST OF THE PEOPLE WE ARE 643 00:24:31,160 --> 00:24:32,600 AIMING TO SERVE? 644 00:24:32,600 --> 00:24:35,720 IF NOT, WHY MIGHT THAT BE? 645 00:24:35,720 --> 00:24:38,360 AS PART OF THAT WHY, MAKING SURE 646 00:24:38,360 --> 00:24:41,800 WE ARE TAKING AN HISTORICAL LENS 647 00:24:41,800 --> 00:24:43,000 THAT EXTENDS BEYOND THE PRESENT 648 00:24:43,000 --> 00:24:45,200 MOMENT EVEN WHEN WE ARE IN AN 649 00:24:45,200 --> 00:24:47,880 EMERGENCY, A CRISIS LIKE THE 650 00:24:47,880 --> 00:24:49,600 COVID-19 PANDEMIC, AS YOU 651 00:24:49,600 --> 00:24:50,560 ALLUDED TO. 652 00:24:50,560 --> 00:24:51,640 I THOUGHT I WOULD ALSO JUST 653 00:24:51,640 --> 00:24:55,960 SHARE A LITTLE BIT OF SORT OF 654 00:24:55,960 --> 00:24:57,040 WHAT IT FELT LIKE DURING SOME OF 655 00:24:57,040 --> 00:25:02,600 THE TOUGHEST MOMENTS OF 656 00:25:02,600 --> 00:25:03,160 COVID-19. 657 00:25:03,160 --> 00:25:06,600 AND MY MEMORY GOES BACK TO 658 00:25:06,600 --> 00:25:09,840 DECEMBER OF 2020. 659 00:25:09,840 --> 00:25:12,800 THIS WAS RIGHT WHEN THE VACCINES 660 00:25:12,800 --> 00:25:16,080 HAD RECEIVED THEIR FIRST FDA 661 00:25:16,080 --> 00:25:18,800 EMERGENCY USE AUTHORIZATIONS. 662 00:25:18,800 --> 00:25:22,000 AND SO I CONVENED MY CABINET AT 663 00:25:22,000 --> 00:25:22,720 THE HEALTH DEPARTMENT. 664 00:25:22,720 --> 00:25:26,040 THESE ARE ALL OF MY DEPUTY 665 00:25:26,040 --> 00:25:26,800 COMMISSIONERS. 666 00:25:26,800 --> 00:25:29,400 SUCH SEASONED EXPERT PUBLIC 667 00:25:29,400 --> 00:25:31,320 HEALTH PROFESSIONALS WITH 668 00:25:31,320 --> 00:25:33,040 DECADES OF EXPERIENCE AMONG 669 00:25:33,040 --> 00:25:33,240 THEM. 670 00:25:33,240 --> 00:25:35,560 AND SOMETIMES I DO THIS EXERCISE 671 00:25:35,560 --> 00:25:38,400 WHERE I ACTUALLY PASS OUT NOTE 672 00:25:38,400 --> 00:25:42,480 CARDS IN MY CABINET MEETING AND 673 00:25:42,480 --> 00:25:44,160 I ASK PEOPLE TO SUBMIT THEIR 674 00:25:44,160 --> 00:25:45,960 RESPONSES TO ME IN A WRITTEN WAY 675 00:25:45,960 --> 00:25:48,280 TO GET MAYBE A MORE UNVARNISHED 676 00:25:48,280 --> 00:25:49,880 VIEW OF WHAT PEOPLE ARE REALLY 677 00:25:49,880 --> 00:25:50,480 THINKING ABOUT. 678 00:25:50,480 --> 00:25:52,560 AND SO I DECIDED TO POSE THE 679 00:25:52,560 --> 00:25:55,800 QUESTION ONE MORNING AS WE WERE 680 00:25:55,800 --> 00:25:58,720 EMBARKING ON OUR VACCINATION 681 00:25:58,720 --> 00:26:01,360 CAMPAIGN, WHAT EACH OF MY DEPUTY 682 00:26:01,360 --> 00:26:02,600 COMMISSIONERS WAS MOST ANXIOUS 683 00:26:02,600 --> 00:26:04,400 ABOUT WITH RESPECT TO OUR 684 00:26:04,400 --> 00:26:05,200 VACCINATION EFFORTS. 685 00:26:05,200 --> 00:26:08,040 AND I HAVE TO ADMIT THE 686 00:26:08,040 --> 00:26:10,080 RESPONSES THAT I GOT BACK WERE A 687 00:26:10,080 --> 00:26:13,720 BIT SURPRISING TO ME. 688 00:26:13,720 --> 00:26:17,520 OVER 90% OF MY COLLEAGUES, MY 689 00:26:17,520 --> 00:26:19,800 TEAM, WROTE THAT THEIR GREATEST 690 00:26:19,800 --> 00:26:22,400 WORRY WAS SOME VERSION OF 691 00:26:22,400 --> 00:26:24,760 VACCINE CONFIDENCE OR VACCINE 692 00:26:24,760 --> 00:26:25,000 HESITANCY. 693 00:26:25,000 --> 00:26:26,800 AND THE REASON THIS WAS A LITTLE 694 00:26:26,800 --> 00:26:28,560 BIT SURPRISING TO ME IN THE 695 00:26:28,560 --> 00:26:30,520 MOMENT WAS THAT I WAS PERHAPS A 696 00:26:30,520 --> 00:26:33,000 BIT TOO FOCUSED ON OUR NEAR-TERM 697 00:26:33,000 --> 00:26:33,280 CHALLENGES. 698 00:26:33,280 --> 00:26:36,320 YOU KNOW, WORKING THROUGH THE 699 00:26:36,320 --> 00:26:39,080 PRIORITIZATION PROCESS IN TERMS 700 00:26:39,080 --> 00:26:41,040 OF, YOU KNOW, WHO WOULD GET 701 00:26:41,040 --> 00:26:44,200 VACCINATIONS IN WHAT ORDER. 702 00:26:44,200 --> 00:26:47,400 FOR CARRYING AS MUCH SUPPLY. 703 00:26:47,400 --> 00:26:50,920 REMEMBER, WE HAD A VERY LIMITED 704 00:26:50,920 --> 00:26:53,480 AMOUNT OF VACCINE. 705 00:26:53,480 --> 00:26:55,440 PROCURING VACCINE FOR NEW YORK 706 00:26:55,440 --> 00:26:55,640 CITY. 707 00:26:55,640 --> 00:26:57,720 AND THE CAPACITY, THE ACTUAL 708 00:26:57,720 --> 00:27:00,800 CLINICS WHERE WE WOULD 709 00:27:00,800 --> 00:27:01,840 ADMINISTER VACCINATIONS 710 00:27:01,840 --> 00:27:02,240 THEMSELVES. 711 00:27:02,240 --> 00:27:04,800 I GOT THIS FEEDBACK FROM MY TEAM 712 00:27:04,800 --> 00:27:08,120 AND IT HELPED ME RECALIBRATE TO 713 00:27:08,120 --> 00:27:09,800 WHAT OUR MEDIUM TERM CHALLENGES 714 00:27:09,800 --> 00:27:10,560 WOULD BE. 715 00:27:10,560 --> 00:27:14,400 OF COURSE IN A FEW SHORT MONTHS 716 00:27:14,400 --> 00:27:17,000 THE ISSUE WASN'T VACCINE SUPPLY 717 00:27:17,000 --> 00:27:18,920 BUT AROUND DEMAND, AROUND 718 00:27:18,920 --> 00:27:19,840 ADDRESSING VACCINE CONFIDENCE 719 00:27:19,840 --> 00:27:22,200 AND GRAPPLING WITH THESE ISSUES 720 00:27:22,200 --> 00:27:23,600 OF TRUST AMONG THE COMMUNITIES 721 00:27:23,600 --> 00:27:26,160 THAT WE WERE SERVING. 722 00:27:26,160 --> 00:27:30,960 WE DID A FEW THINGS TO TRY TO 723 00:27:30,960 --> 00:27:34,560 RESPOND TO THOSE IDEAS AROUND 724 00:27:34,560 --> 00:27:35,360 BUILDING VACCINE CONFIDENCE. 725 00:27:35,360 --> 00:27:39,880 FIRST AND FOREMOST, I THINK OF 726 00:27:39,880 --> 00:27:42,720 AS BAKING HUMILIATE INTO OUR 727 00:27:42,720 --> 00:27:43,000 RESPONSE. 728 00:27:43,000 --> 00:27:46,360 AND THAT MEANS THAT IT TOOK US 729 00:27:46,360 --> 00:27:48,080 KNOWING THAT IN MANY CASES WE 730 00:27:48,080 --> 00:27:49,960 WERE NOT THE MOST TRUSTED 731 00:27:49,960 --> 00:27:51,000 MESSENGERS FOR THE COMMUNITIES 732 00:27:51,000 --> 00:27:52,800 THAT WE WERE AIMING TO SERVE. 733 00:27:52,800 --> 00:27:55,920 AND SO THAT MEANS PUBLIC HEALTH 734 00:27:55,920 --> 00:27:57,560 OR GOVERNMENT WRIT LARGE HAS TO 735 00:27:57,560 --> 00:28:03,600 HAVE THE HUMILITY TO TAKE A STEP 736 00:28:03,600 --> 00:28:08,240 BACK AND INSTEAD EMPOWER OUR 737 00:28:08,240 --> 00:28:09,480 PARTS, WHETHER THEY WERE FAITH 738 00:28:09,480 --> 00:28:14,440 LEADERS OR HEADS OF COMMUNITY- 739 00:28:14,440 --> 00:28:15,120 COMMUNITY-BASED ORGANIZATIONS OR 740 00:28:15,120 --> 00:28:16,680 HEALTH WORKERS, WHICH I WOULD BE 741 00:28:16,680 --> 00:28:18,680 HAPPY TO TALK ABOUT A LITTLE BIT 742 00:28:18,680 --> 00:28:20,800 FURTHER, BUT FOR ALL OF THOSE 743 00:28:20,800 --> 00:28:29,120 GROUPS TO BE THE UP WIONES WITH THE 744 00:28:29,120 --> 00:28:30,520 FACES OF BUILDING VACCINE 745 00:28:30,520 --> 00:28:32,760 CONFIDENCE AND BRINGING VACCINES 746 00:28:32,760 --> 00:28:34,600 INTO THE NEIGHBORHOODS WE WERE 747 00:28:34,600 --> 00:28:34,800 SERVING. 748 00:28:34,800 --> 00:28:36,320 THIS IS BECAUSE TRUST IS NOT 749 00:28:36,320 --> 00:28:38,000 GAINED OR LOST IN DAYS OR WEEKS 750 00:28:38,000 --> 00:28:38,560 OR MONTHS. 751 00:28:38,560 --> 00:28:42,000 IT IS A PROCESS THAT HAPPENS 752 00:28:42,000 --> 00:28:43,240 OVER YEARS. 753 00:28:43,240 --> 00:28:45,040 AND WE HAVE TO RECOGNIZE THAT 754 00:28:45,040 --> 00:28:46,400 THERE ARE PEOPLE EVERY DAY WHO 755 00:28:46,400 --> 00:28:48,000 HAVE BEEN WORKING IN THEIR 756 00:28:48,000 --> 00:28:50,640 NEIGHBORHOODS, IN THEIR 757 00:28:50,640 --> 00:28:52,560 COMMUNITIES, TO BUILD TRUST OVER 758 00:28:52,560 --> 00:28:55,640 YEARS, IF NOT DECADES. 759 00:28:55,640 --> 00:28:58,400 AND SO I THINK PART OF OUR 760 00:28:58,400 --> 00:29:00,000 IMPULSE IN PUBLIC HEALTH IS TO 761 00:29:00,000 --> 00:29:02,440 HAVE THE HUMILITY TO RECOGNIZE 762 00:29:02,440 --> 00:29:04,240 THAT AND TO PARTNER IN ORDER TO 763 00:29:04,240 --> 00:29:05,400 BECOME WORTHY OF THE TRUST OF 764 00:29:05,400 --> 00:29:10,600 THE PEOPLE WE ARE SERVING. 765 00:29:10,600 --> 00:29:11,960 >> ABSOLUTELY. 766 00:29:11,960 --> 00:29:13,600 I'M WITH YOU 100%. 767 00:29:13,600 --> 00:29:16,480 DR. MURTHY, WHAT ARE YOUR 768 00:29:16,480 --> 00:29:18,200 PERSPECTIVES ON THIS TOPIC, 769 00:29:18,200 --> 00:29:20,000 ESPECIALLY AT THE NATIONAL 770 00:29:20,000 --> 00:29:20,200 LEVEL? 771 00:29:20,200 --> 00:29:22,520 >> I THINK DAVE SAID IT WELL. 772 00:29:22,520 --> 00:29:26,600 HIS LESSONS AND INSIGHTS APPLY 773 00:29:26,600 --> 00:29:27,800 AT A NATIONAL LEVEL AS WELL, 774 00:29:27,800 --> 00:29:28,880 NATIONAL LEADERS. 775 00:29:28,880 --> 00:29:30,520 I HAVE TWO BRIEF THOUGHTS. 776 00:29:30,520 --> 00:29:33,160 ONE IS THAT ULTIMATELY 777 00:29:33,160 --> 00:29:36,880 MOBILIZING ENGAGED PARTNERS WHO 778 00:29:36,880 --> 00:29:39,000 ARE TRUSTED MEANS WE HAVE TO 779 00:29:39,000 --> 00:29:40,240 REACH PEOPLE WHO DON'T HAVE 780 00:29:40,240 --> 00:29:41,840 HEALTH IN THEIR TITLE. 781 00:29:41,840 --> 00:29:43,120 COMMUNITY ORGANIZATIONS, FAITH 782 00:29:43,120 --> 00:29:44,840 ORGANIZATIONINGS AND OTHERS, BUT 783 00:29:44,840 --> 00:29:46,280 REACHING THEM AND SUPPORTING 784 00:29:46,280 --> 00:29:47,800 THEM MATERIALLY MEANS WE HAVE TO 785 00:29:47,800 --> 00:29:50,120 THINK ABOUT HOW TO GET FUNDING 786 00:29:50,120 --> 00:29:51,280 DIRECTLY TO THOSE ORGANIZATIONS. 787 00:29:51,280 --> 00:29:53,240 WHAT I HAVE FOUND IS THAT 788 00:29:53,240 --> 00:29:54,800 SOMETIMES WELL INTENTIONED 789 00:29:54,800 --> 00:29:56,560 EFFORTS TO DISTRIBUTE FUNDING TO 790 00:29:56,560 --> 00:29:58,840 COMMUNITIES GET TIED UP AT THE 791 00:29:58,840 --> 00:29:59,800 STATE LEVEL OR IN COUNTY 792 00:29:59,800 --> 00:30:00,320 GOVERNMENT. 793 00:30:00,320 --> 00:30:02,120 I HEAR FROM COUNTLESS SMALL 794 00:30:02,120 --> 00:30:03,960 ORGANIZATIONS ON THE GROUND THAT 795 00:30:03,960 --> 00:30:05,280 ACTUALLY HAVE THE RELATIONSHIPS, 796 00:30:05,280 --> 00:30:08,320 THE GROUPS THAT WHEN THEY SHOW 797 00:30:08,320 --> 00:30:10,280 UP IN FRONT OF SOMEBODY'S DOOR, 798 00:30:10,280 --> 00:30:11,600 THEY OPEN THE DOOR BECAUSE THEY 799 00:30:11,600 --> 00:30:12,840 RECOGNIZE THEM AND KNOW THEM. 800 00:30:12,840 --> 00:30:14,560 THEY ARE NOT SOPHISTICATED 801 00:30:14,560 --> 00:30:16,480 FOUNDATIONS THAT HAVE BUILT A 802 00:30:16,480 --> 00:30:19,000 HUGE GRANT WRITING OPERATION, 803 00:30:19,000 --> 00:30:19,200 RIGHT? 804 00:30:19,200 --> 00:30:21,000 THEY DON'T COME ACROSS TO 805 00:30:21,000 --> 00:30:24,000 TRADITIONAL AGENCIES THAT ARE 806 00:30:24,000 --> 00:30:27,040 AWARDING GRANTS AS SEASONED AND 807 00:30:27,040 --> 00:30:28,720 SOPHISTICATED PROCESSER OF 808 00:30:28,720 --> 00:30:28,920 FUNDS. 809 00:30:28,920 --> 00:30:30,760 AND SO THEY GET OVERLOOKED, 810 00:30:30,760 --> 00:30:31,240 RIGHT? 811 00:30:31,240 --> 00:30:33,280 BUT THESE ARE THE GROUPS THAT 812 00:30:33,280 --> 00:30:34,400 ACTUALLY HAVE THE TRUST. 813 00:30:34,400 --> 00:30:37,200 MY WIFE ACTUALLY SPENT SOME TIME 814 00:30:37,200 --> 00:30:40,080 WORKING FOR A NONPROFIT EARLY IN 815 00:30:40,080 --> 00:30:42,840 THE PANDEMIC WHEN THE VACCINES 816 00:30:42,840 --> 00:30:45,560 WERE FIRST BECOMING AVAILABLE 817 00:30:45,560 --> 00:30:48,720 THAT WAS VERY WELL VERSED AT 818 00:30:48,720 --> 00:30:49,760 GATHERING FUNDS. 819 00:30:49,760 --> 00:30:51,160 THEY WERE SMART ENOUGH TO KNOW 820 00:30:51,160 --> 00:30:52,480 WHAT THEY NEEDED TO DO WITH 821 00:30:52,480 --> 00:30:54,440 THOSE FUNDS IS GET THEM TO THE 822 00:30:54,440 --> 00:30:55,800 SMALL ORGANIZATIONS WHO WOULD 823 00:30:55,800 --> 00:30:58,400 NEVER KNOW TO APPLY FOR THE 824 00:30:58,400 --> 00:31:00,040 FUNDS, BUT HAVE THE 825 00:31:00,040 --> 00:31:01,960 RELATIONSHIPS TO TALK TO PEOPLE 826 00:31:01,960 --> 00:31:03,160 ABOUT COVID AND VACCINES. 827 00:31:03,160 --> 00:31:05,320 THAT IS WHAT THEY DID AND THEY 828 00:31:05,320 --> 00:31:07,440 WERE REMARKABLY EFFECTIVE IN 829 00:31:07,440 --> 00:31:09,280 SUPPORTING GROUPS THAT COULD GET 830 00:31:09,280 --> 00:31:12,360 ACCURATE INFORMATION TO 831 00:31:12,360 --> 00:31:12,640 COMMUNITIES. 832 00:31:12,640 --> 00:31:16,560 HOW WE DISBURSE FUNDING, IT IS 833 00:31:16,560 --> 00:31:17,400 VITALLY IMPORTANT BECAUSE A LOT 834 00:31:17,400 --> 00:31:19,800 OF THE FUNDING GETS NOT ONLY 835 00:31:19,800 --> 00:31:21,600 LOCKED UP AT POINTS ALONG THE 836 00:31:21,600 --> 00:31:23,880 WAY, BUT IT ENDS UP GOING TO 837 00:31:23,880 --> 00:31:25,040 ORGANIZATIONS THAT ARE REALLY 838 00:31:25,040 --> 00:31:27,160 GOOD AT APPLYING FOR FUNDS, BUT 839 00:31:27,160 --> 00:31:30,520 MAY NOT HAVE THE FULL EXTENT OF 840 00:31:30,520 --> 00:31:31,600 RELATIONSHIPS THAT SMALL GROUPS 841 00:31:31,600 --> 00:31:32,640 ON THE GROUND HAVE. 842 00:31:32,640 --> 00:31:35,920 THE OTHER THING I WOULD JUST 843 00:31:35,920 --> 00:31:38,280 SAY, ADD ON TO DAVE'S INSIGHTFUL 844 00:31:38,280 --> 00:31:41,120 POINTS, HAS TO DO WITH HOW WE IN 845 00:31:41,120 --> 00:31:44,600 PUBLIC HEALTH AND LEADERSHIP 846 00:31:44,600 --> 00:31:46,080 POSITIONS ARE TRAINED IN PUBLIC 847 00:31:46,080 --> 00:31:47,600 HEALTH COMMUNICATION. 848 00:31:47,600 --> 00:31:49,480 THE TRUTH IS THERE ISN'T ENOUGH 849 00:31:49,480 --> 00:31:51,440 TRAINING PROVIDED TO LEADERS ON 850 00:31:51,440 --> 00:31:53,720 HOW TO COMMUNICATE WITH THE 851 00:31:53,720 --> 00:31:54,280 PUBLIC. 852 00:31:54,280 --> 00:31:56,160 OFTEN THAT COMMUNICATION CAN 853 00:31:56,160 --> 00:31:59,800 COME OFF OVERLY SCIENTIFIC OR 854 00:31:59,800 --> 00:32:01,200 JARGONY, OR NOT ENOUGH 855 00:32:01,200 --> 00:32:02,960 ACTION-ORIENTED TAKEAWAYS. 856 00:32:02,960 --> 00:32:04,880 IT MAKES IT VERY HARD FOR PEOPLE 857 00:32:04,880 --> 00:32:08,000 TO KNOW WHAT TO DO AND TO SORT 858 00:32:08,000 --> 00:32:08,960 OF TRUST IN INFORMATION. 859 00:32:08,960 --> 00:32:11,480 IT IS HARD TO TRUST THINGS YOU 860 00:32:11,480 --> 00:32:13,320 DON'T UNDERSTAND OR TO TRUST 861 00:32:13,320 --> 00:32:14,720 MESSAGERS YOU CAN'T RELATE TO. 862 00:32:14,720 --> 00:32:16,880 SO BEING ABLE TO NOT ONLY 863 00:32:16,880 --> 00:32:18,000 COMMUNICATE INFORMATION 864 00:32:18,000 --> 00:32:20,160 ACCURATELY, CONCISELY, AND 865 00:32:20,160 --> 00:32:21,480 CLEARLY, BUT ALSO IN WAYS THAT 866 00:32:21,480 --> 00:32:24,200 PEOPLE CAN RELATE TO IS REALLY 867 00:32:24,200 --> 00:32:24,560 IMPORTANT. 868 00:32:24,560 --> 00:32:28,040 THAT IS AS VITAL AS SKILL IN 869 00:32:28,040 --> 00:32:29,040 PUBLIC HEALTH EDUCATION. 870 00:32:29,040 --> 00:32:30,560 ANYTHING WE MAY LEARN IN 871 00:32:30,560 --> 00:32:35,360 STATISTICS OR EPIDEMIOLOGY. 872 00:32:35,360 --> 00:32:36,520 >> ALL GREAT POINTS. 873 00:32:36,520 --> 00:32:38,200 WE KNOW TRUST IS A VERY 874 00:32:38,200 --> 00:32:38,840 COMPLICATED TOPIC. 875 00:32:38,840 --> 00:32:41,520 IT IS ONE, AS YOU BOTH POINT OUT 876 00:32:41,520 --> 00:32:44,000 IN YOUR VARIOUS REMARKS, THIS IS 877 00:32:44,000 --> 00:32:46,000 SOMETHING THAT REQUIRES 878 00:32:46,000 --> 00:32:52,720 COMMUNITY COMPETENCE, CULTURAL 879 00:32:52,720 --> 00:32:56,720 HUMILITY. 880 00:32:56,720 --> 00:33:00,040 DR. CHOSKY DO YOU KNOW THE 881 00:33:00,040 --> 00:33:01,800 ORGANIZATIONS THAT MIGHT BE THE 882 00:33:01,800 --> 00:33:04,560 APPROPRIATE WAY TO DELIVER 883 00:33:04,560 --> 00:33:06,000 MESSAGES, BEING CAUTIOUS THAT 884 00:33:06,000 --> 00:33:07,880 HEALTH COMMUNICATION IS BEYOND 885 00:33:07,880 --> 00:33:09,640 ACCURACY, THE RELATIONSHIP PART 886 00:33:09,640 --> 00:33:16,240 IS IMPORTANT. 887 00:33:16,240 --> 00:33:19,400 WHAT PEOPLE CAN CREATE TO 888 00:33:19,400 --> 00:33:20,600 MAINTAIN TRUST IN SIGN AND 889 00:33:20,600 --> 00:33:22,000 PUBLIC HEALTH POLICY, 890 00:33:22,000 --> 00:33:23,400 PARTICULARLY THINKING ABOUT 891 00:33:23,400 --> 00:33:26,200 DIFFERENT LEVELS OF GOVERNMENT 892 00:33:26,200 --> 00:33:31,280 AND FOCUSING ON ASIAN AMERICAN, 893 00:33:31,280 --> 00:33:31,880 NATIVE HAWAIIAN AND PACIFIC 894 00:33:31,880 --> 00:33:32,400 ISLANDER COMMUNITIES. 895 00:33:32,400 --> 00:33:32,920 >> YEAH. 896 00:33:32,920 --> 00:33:35,520 THIS IS SOMETHING WE HAVE TO GO 897 00:33:35,520 --> 00:33:37,360 A LITTLE DEEPER ON. 898 00:33:37,360 --> 00:33:38,760 I APPRECIATE THAT. 899 00:33:38,760 --> 00:33:41,040 I WANT TO ECHO SOMETHING THAT 900 00:33:41,040 --> 00:33:43,000 VIVEK SAID ABOUT THE IMPORTANCE 901 00:33:43,000 --> 00:33:45,560 OF COMMUNICATION IN PUBLIC 902 00:33:45,560 --> 00:33:46,720 HEALTH. 903 00:33:46,720 --> 00:33:49,560 FIRST VIVEK IS SUCH AND EXAMPLE 904 00:33:49,560 --> 00:33:51,800 OF THIS WITH RESPECT TO THE 905 00:33:51,800 --> 00:33:56,720 ABILITY TO FRAME IN A WAY THAT 906 00:33:56,720 --> 00:33:59,800 RESONATES WITH PEOPLE, YOU KNOW, 907 00:33:59,800 --> 00:34:02,120 THAT MOVES US, NOT JUST IN TERMS 908 00:34:02,120 --> 00:34:04,440 OF THE DISPASSIONATE EVIDENCE, 909 00:34:04,440 --> 00:34:05,840 WHICH, OF COURSE, HAS TO BE THE 910 00:34:05,840 --> 00:34:07,720 ROOT OF ANYTHING THAT WE DO IN 911 00:34:07,720 --> 00:34:08,640 PUBLIC HEALTH. 912 00:34:08,640 --> 00:34:12,560 BUT TO THEN TRANSLATE THAT INTO 913 00:34:12,560 --> 00:34:12,800 ACTION. 914 00:34:12,800 --> 00:34:15,360 SO I THINK WE ALL CAN LEARN 915 00:34:15,360 --> 00:34:19,840 SOMETHING FROM THE WAYS IN WHICH 916 00:34:19,840 --> 00:34:23,240 VIVEK HAS ESPOUSED THAT IN HIS 917 00:34:23,240 --> 00:34:24,400 ROLE AS SURGEON GENERAL. 918 00:34:24,400 --> 00:34:26,360 I WILL ADD A COUPLE OF THOUGHTS 919 00:34:26,360 --> 00:34:27,640 FROM MY EXPERIENCE IN NEW YORK 920 00:34:27,640 --> 00:34:28,360 CITY. 921 00:34:28,360 --> 00:34:30,000 THE FIRST IS TO JUST MAYBE STATE 922 00:34:30,000 --> 00:34:32,920 THE OBVIOUS HERE, BUT TO STATE 923 00:34:32,920 --> 00:34:35,880 THAT REPRESENTATION MATTERS. 924 00:34:35,880 --> 00:34:38,680 YOU KNOW, I'M REALLY PROUD AS 925 00:34:38,680 --> 00:34:40,720 WAS MENTIONED IN MY 926 00:34:40,720 --> 00:34:42,560 INTRODUCTION, TO BE THE FIRST 927 00:34:42,560 --> 00:34:43,200 NEW YORK CITY HEALTH 928 00:34:43,200 --> 00:34:44,800 COMMISSIONER OF ASIAN DESCENT. 929 00:34:44,800 --> 00:34:47,480 I KNEW THAT WAS MEANINGFUL TO 930 00:34:47,480 --> 00:34:49,920 ME, INTRINSICALLY, BUT I CAME TO 931 00:34:49,920 --> 00:34:51,800 REALIZE HOW MEANINGFUL IT WAS 932 00:34:51,800 --> 00:34:53,840 FOR OTHERS AS WELL. 933 00:34:53,840 --> 00:34:55,680 THE MEMORY THAT COMES TO MIND 934 00:34:55,680 --> 00:34:58,200 WAS WHEN I WAS SERVING AS HEALTH 935 00:34:58,200 --> 00:35:00,240 COMMISSIONER, I DID PSAs THAT 936 00:35:00,240 --> 00:35:07,480 WERE RELATIVELY BROADLY VIEWED 937 00:35:07,480 --> 00:35:09,680 ACROSS THE NEW YORK CITY AREA. 938 00:35:09,680 --> 00:35:12,400 I WAS ACTUALLY WITH MY WIFE AND 939 00:35:12,400 --> 00:35:15,640 YOUNG DAUGHTER AT A VOTING SITE. 940 00:35:15,640 --> 00:35:17,680 WE WERE GOING TO CAST OUR BALLOT 941 00:35:17,680 --> 00:35:19,600 AND WANTED TO BE DELIBERATE IN 942 00:35:19,600 --> 00:35:21,000 BRINGING OUR DAUGHTER TO SHOW 943 00:35:21,000 --> 00:35:24,800 HER WHAT DEMOCRACY LOOKS LIKE. 944 00:35:24,800 --> 00:35:26,240 AFTER WE CAST OUR BALLOT, A 945 00:35:26,240 --> 00:35:28,760 WOMAN CAME UP TO ME OUTSIDE OF 946 00:35:28,760 --> 00:35:31,200 THE SCHOOL WHERE WE WERE, THIS 947 00:35:31,200 --> 00:35:33,240 IS IN OUR NEIGHBORHOOD IN 948 00:35:33,240 --> 00:35:38,800 JACKSON HEIGHTS QUEENS. 949 00:35:38,800 --> 00:35:40,600 AND THE WOMAN STOPPED ME AND 950 00:35:40,600 --> 00:35:42,160 WANTED TO INTRODUCE ME TO HER 951 00:35:42,160 --> 00:35:44,240 DAUGHTER, A FEW YEARS OLDER THAN 952 00:35:44,240 --> 00:35:44,760 MINE. 953 00:35:44,760 --> 00:35:46,120 SHE TOLD ME THAT HER DAUGHTER 954 00:35:46,120 --> 00:35:48,120 HAD WATCHED ME ON THE NEWS AND 955 00:35:48,120 --> 00:35:52,120 HAD STARTED LEARNING ABOUT 956 00:35:52,120 --> 00:35:53,280 PUBLIC HEALTH, YOU KNOW, SHE WAS 957 00:35:53,280 --> 00:35:58,560 ABOUT 10 YEARS OLD, SHE WAS 958 00:35:58,560 --> 00:35:59,600 LEARNING ABOUT WHAT PUBLIC 959 00:35:59,600 --> 00:36:01,800 HEALTH WAS AFTER SEEING OUR 960 00:36:01,800 --> 00:36:03,000 DEPARTMENT'S BRIEFINGS. 961 00:36:03,000 --> 00:36:07,080 I THINK ABOUT HOW IMPORTANT 962 00:36:07,080 --> 00:36:08,760 SOMETHING LIKE THAT IS TO SHAPE 963 00:36:08,760 --> 00:36:10,600 THE FUTURE OF PUBLIC HEALTH BY 964 00:36:10,600 --> 00:36:12,800 HELPING TO LAUNCH CAREERS IN 965 00:36:12,800 --> 00:36:15,040 PUBLIC SERVICE BASED ON PEOPLE 966 00:36:15,040 --> 00:36:18,360 WHO SEE OTHERS WHO LOOK LIKE 967 00:36:18,360 --> 00:36:20,920 THEM AND SAY, HEY, MAYBE THAT IS 968 00:36:20,920 --> 00:36:22,400 SOMETHING I CAN DO WHEN I GROW 969 00:36:22,400 --> 00:36:27,160 UP OR AS PART OF MY CAREER AS 970 00:36:27,160 --> 00:36:27,360 WELL. 971 00:36:27,360 --> 00:36:29,600 I'M SURE EVERYONE ON THE CALL 972 00:36:29,600 --> 00:36:31,040 HAS A SIMILAR STORY. 973 00:36:31,040 --> 00:36:33,040 BUT WE HAVE TO SHARE THEM. 974 00:36:33,040 --> 00:36:36,440 WE HAVE TO REMIND EACH OTHER 975 00:36:36,440 --> 00:36:40,120 THAT THERE IS THIS DEEP AND, YOU 976 00:36:40,120 --> 00:36:43,120 KNOW, SORT OF RESONANT VALUE TO 977 00:36:43,120 --> 00:36:45,920 IT THAT IS HARD FOR US TO 978 00:36:45,920 --> 00:36:46,200 CALCULATE. 979 00:36:46,200 --> 00:36:48,120 IT IS HARD FOR US TO MEASURE, 980 00:36:48,120 --> 00:36:52,200 BUT IT IS SUPREMELY IMPORTANT IN 981 00:36:52,200 --> 00:36:53,440 TERMS OF CHANGING WHAT OUR 982 00:36:53,440 --> 00:36:55,160 LEADERSHIP LOOKS LIKE. 983 00:36:55,160 --> 00:36:58,440 WHICH ULTIMATELY IS HOW WE 984 00:36:58,440 --> 00:36:59,120 ACTUALLY HOLD OURSELVES 985 00:36:59,120 --> 00:37:00,440 ACCOUNTABLE TO WHAT OUR 986 00:37:00,440 --> 00:37:02,320 COMMUNITIES WANT FROM US. 987 00:37:02,320 --> 00:37:04,040 JUST TWO OTHER THOUGHTS IN TERMS 988 00:37:04,040 --> 00:37:06,440 OF WHAT PUBLIC HEALTH CAN DO 989 00:37:06,440 --> 00:37:07,600 AROUND TRUST. 990 00:37:07,600 --> 00:37:09,640 THE FIRST WAS I TRIED TO 991 00:37:09,640 --> 00:37:12,800 EMPHASIZE WHEN I WAS LEADING THE 992 00:37:12,800 --> 00:37:14,560 HEALTH DEPARTMENT THAT WE HAVE 993 00:37:14,560 --> 00:37:16,080 TO ALSO THINK ABOUT ALL OF THE 994 00:37:16,080 --> 00:37:18,400 SMALL OPPORTUNITIES WE HAVE TO 995 00:37:18,400 --> 00:37:19,960 GAIN OR LOSE THE TRUST OF THE 996 00:37:19,960 --> 00:37:22,920 PEOPLE WE ARE SERVING. 997 00:37:22,920 --> 00:37:25,360 SO TO GIVE YOU ONE VERY CONCRETE 998 00:37:25,360 --> 00:37:28,080 EXAMPLE, WE ARE CHARGED WITH 999 00:37:28,080 --> 00:37:28,680 ADMINISTERING THE BIRTH AND 1000 00:37:28,680 --> 00:37:30,400 DEATH CERTIFICATES FOR NEW 1001 00:37:30,400 --> 00:37:30,600 YORKERS. 1002 00:37:30,600 --> 00:37:32,760 THAT IS ONE OF THE FUNCTIONS OF 1003 00:37:32,760 --> 00:37:34,440 THE NEW YORK CITY HEALTH 1004 00:37:34,440 --> 00:37:35,000 DEPARTMENT. 1005 00:37:35,000 --> 00:37:36,600 AND, YOU KNOW, THIS MAY SOUND 1006 00:37:36,600 --> 00:37:39,240 LIKE A VERY BUREAUCRATIC SORT OF 1007 00:37:39,240 --> 00:37:40,720 GOVERNMENT PROCESS, BUT TAKE A 1008 00:37:40,720 --> 00:37:43,400 STEP BACK AND THINK ABOUT IT. 1009 00:37:43,400 --> 00:37:49,280 IS THERE A MORE MEANINGFUL PART 1010 00:37:49,280 --> 00:37:50,600 OF LIFE THAN MARKING THE DEATH 1011 00:37:50,600 --> 00:37:53,360 OF YOUR LOVED ONE OR THE BIRTH 1012 00:37:53,360 --> 00:37:54,440 OF YOUR CHILD? 1013 00:37:54,440 --> 00:37:55,600 AND, YOU KNOW, SO I TRIED TO GET 1014 00:37:55,600 --> 00:37:58,120 US TO THINK ABOUT IT LESS AS A 1015 00:37:58,120 --> 00:38:00,000 PROCESS AND MORE AS AN 1016 00:38:00,000 --> 00:38:01,880 OPPORTUNITY TO GAIN OR LOSE THE 1017 00:38:01,880 --> 00:38:03,600 TRUST OF NEW YORKERS. 1018 00:38:03,600 --> 00:38:06,200 IN MANY CASES, IT WAS, YOU KNOW, 1019 00:38:06,200 --> 00:38:07,680 OUTSIDE OF A PANDEMIC AT LEAST, 1020 00:38:07,680 --> 00:38:09,880 THE ONLY TIME THAT PEOPLE EVER 1021 00:38:09,880 --> 00:38:10,840 INTERACT WITH THE HEALTH 1022 00:38:10,840 --> 00:38:12,360 DEPARTMENT AND IF THEY HAVE A 1023 00:38:12,360 --> 00:38:15,280 FRUSTRATING TIME WITH IT, IF 1024 00:38:15,280 --> 00:38:17,400 THEY ARE CAUGHT UP IN PAPERWORK 1025 00:38:17,400 --> 00:38:19,800 DELAYS OR IT IS A FRUSTRATING 1026 00:38:19,800 --> 00:38:21,240 PROCESS FOR OTHER REASONS, THAT 1027 00:38:21,240 --> 00:38:23,760 WILL HAVE BEEN A MISSED 1028 00:38:23,760 --> 00:38:24,800 OPPORTUNITY TO BUILD TRUST. 1029 00:38:24,800 --> 00:38:28,520 SO WE HAVE TO THINK ABOUT THOSE 1030 00:38:28,520 --> 00:38:31,000 MICRO MOMENTS THAT REALLY ADD UP 1031 00:38:31,000 --> 00:38:32,560 WITH RESPECT TO EARNING THE 1032 00:38:32,560 --> 00:38:34,400 TRUST OF PEOPLE THAT WE ARE 1033 00:38:34,400 --> 00:38:34,800 SERVING. 1034 00:38:34,800 --> 00:38:37,920 AND THEN THE LAST POINT IS LET'S 1035 00:38:37,920 --> 00:38:40,840 DO WHAT WE DO WELL IN PUBLIC 1036 00:38:40,840 --> 00:38:42,400 HEALTH AND BRING IT TO THESE 1037 00:38:42,400 --> 00:38:44,040 DEEP QUESTIONS. 1038 00:38:44,040 --> 00:38:47,080 THE WAY YOU FRAMED IT MONICA, I 1039 00:38:47,080 --> 00:38:49,040 THINK OF AS THE REASON THAT THE 1040 00:38:49,040 --> 00:38:51,880 PANDEMIC HAD SUCH A CATASTROPHIC 1041 00:38:51,880 --> 00:38:54,160 EFFECT IS BECAUSE IT WAS AN 1042 00:38:54,160 --> 00:39:00,720 EARTHQUAKE, BUT IT WAS AN 1043 00:39:00,720 --> 00:39:02,520 EARTHQUAKE THAT WAS BUILD ON 1044 00:39:02,520 --> 00:39:07,800 TECTONIC PLATES ON RACIAL EQUITY 1045 00:39:07,800 --> 00:39:12,040 AND ISSUES SANDRA SOCIAL 1046 00:39:12,040 --> 00:39:15,200 COHESION WHICH VIVEK HAS K 1047 00:39:15,200 --> 00:39:16,760 POINTED TO. 1048 00:39:16,760 --> 00:39:19,640 WE NEED TO BRING TO BEAR ON 1049 00:39:19,640 --> 00:39:21,600 THOSE TECTONIC PLATES. 1050 00:39:21,600 --> 00:39:24,000 LET'S MEASURE TRUST AS IT EXISTS 1051 00:39:24,000 --> 00:39:26,120 TODAY AND HOLD OURSELVES 1052 00:39:26,120 --> 00:39:27,200 ACCOUNTABLE AS PUBLIC HEALTH 1053 00:39:27,200 --> 00:39:29,360 PROFESSIONALS FOR WAYS IN WHICH 1054 00:39:29,360 --> 00:39:31,000 THAT TRUST CHANGES OVER TIME. 1055 00:39:31,000 --> 00:39:33,520 AGAIN, A CONCRETE EXAMPLE. 1056 00:39:33,520 --> 00:39:35,400 WE TRIED TO ADD JUST A HANDFUL 1057 00:39:35,400 --> 00:39:37,640 OF QUESTIONS ON THE ANNUAL 1058 00:39:37,640 --> 00:39:40,600 SURVEYS THAT WE DO OF NEW 1059 00:39:40,600 --> 00:39:40,840 YORKERS. 1060 00:39:40,840 --> 00:39:42,120 WHERE WE ASK ABOUT HEALTH 1061 00:39:42,120 --> 00:39:43,720 BEHAVIORS AND OTHER THINGS. 1062 00:39:43,720 --> 00:39:45,400 WE STARTED ASKING ABOUT MEASURES 1063 00:39:45,400 --> 00:39:48,040 OF TRUST AND SOCIAL COHESION SO 1064 00:39:48,040 --> 00:39:49,480 WE CAN AT LEAST START TO GET A 1065 00:39:49,480 --> 00:39:51,400 BEAT ON IT AND ULTIMATELY START 1066 00:39:51,400 --> 00:39:57,600 TO SHIFT THAT OVER TIME. 1067 00:39:57,600 --> 00:40:00,320 >> DID EVERYONE HEAR HE SAID, I 1068 00:40:00,320 --> 00:40:02,200 MAY NOT GET THIS EXACTLY RIGHT, 1069 00:40:02,200 --> 00:40:05,560 IT WAS REALLY PROFOUND. 1070 00:40:05,560 --> 00:40:08,280 AND EARTHQUAKE BUILT ON TECTONIC 1071 00:40:08,280 --> 00:40:10,560 PLATES OF INEQUITY. 1072 00:40:10,560 --> 00:40:12,640 I MEAN, THAT IS EXTREMELY DEEP. 1073 00:40:12,640 --> 00:40:15,160 IT IS ACTUALLY OVERWHELMING WHEN 1074 00:40:15,160 --> 00:40:17,120 YOU THINK ABOUT THAT WHAT THAT 1075 00:40:17,120 --> 00:40:17,400 MEANS. 1076 00:40:17,400 --> 00:40:20,920 I'M GOING TO FIND A WAY TO 1077 00:40:20,920 --> 00:40:21,600 INCORPORATE THAT INTO SOMETHING 1078 00:40:21,600 --> 00:40:23,320 I TALK ABOUT IN THE FUTURE 1079 00:40:23,320 --> 00:40:25,240 BECAUSE THAT WAS REALLY 1080 00:40:25,240 --> 00:40:25,600 INTERESTING. 1081 00:40:25,600 --> 00:40:31,680 I HAVE ANOTHER QUESTION, DR. 1082 00:40:31,680 --> 00:40:33,800 CHOKSHI, AS A PRIMARY CARE 1083 00:40:33,800 --> 00:40:36,280 PHYSICIAN IN YOUR EXPERIENCE OF 1084 00:40:36,280 --> 00:40:37,640 TAKING CARE OF UNDERSERVED 1085 00:40:37,640 --> 00:40:40,320 PATIENTS, WHAT ROLES DO YOU SEE 1086 00:40:40,320 --> 00:40:42,800 IN PRIMARY CARE TO ADDRESS 1087 00:40:42,800 --> 00:40:44,880 ISSUES OF TRUST IN BOTH MEDICINE 1088 00:40:44,880 --> 00:40:45,840 AND PUBLIC HEALTH POLICY? 1089 00:40:45,840 --> 00:40:47,920 >> I'M INTERESTED IN VIVEK'S 1090 00:40:47,920 --> 00:40:49,080 THOUGHTS ON THIS AS WELL. 1091 00:40:49,080 --> 00:40:50,680 AS HE MENTIONED, WE TRAINED 1092 00:40:50,680 --> 00:40:52,120 TOGETHER AND I HAVE LEARNED SO 1093 00:40:52,120 --> 00:40:54,880 MUCH ABOUT DOCTORING FROM HIS 1094 00:40:54,880 --> 00:40:56,680 EXAMPLE AS WELL. 1095 00:40:56,680 --> 00:40:59,920 I REALLY, YOU KNOW, I BROUGHT MY 1096 00:40:59,920 --> 00:41:09,280 CLINICAL IDENTITY TO BEAR IN 1097 00:41:09,280 --> 00:41:09,680 MAMY 1098 00:41:09,680 --> 00:41:11,560 PUBLIC HEALTH WORK BECAUSE IT IS 1099 00:41:11,560 --> 00:41:12,840 SO DEFINING OF WHO I AM. 1100 00:41:12,840 --> 00:41:15,000 BUT THERE ARE SO MANY LESSONS 1101 00:41:15,000 --> 00:41:16,960 WITH RESPECT TO HOW WE MIGHT DO 1102 00:41:16,960 --> 00:41:18,160 THINGS DIFFERENTLY WITH RESPECT 1103 00:41:18,160 --> 00:41:19,000 TO PUBLIC HEALTH. 1104 00:41:19,000 --> 00:41:22,640 AND THE FIRST ONE IS TO CONNECT 1105 00:41:22,640 --> 00:41:23,800 TRUST TO SOMETHING VERY SIMPLE, 1106 00:41:23,800 --> 00:41:25,640 WHICH IS LISTENING. 1107 00:41:25,640 --> 00:41:28,400 YOU KNOW, WHEN IT COMES TO 1108 00:41:28,400 --> 00:41:31,000 SOMETHING LIKE VACCINE 1109 00:41:31,000 --> 00:41:32,560 CONFIDENCE, I STARTED BY 1110 00:41:32,560 --> 00:41:34,080 THINKING ABOUT WHAT HAPPENS IN 1111 00:41:34,080 --> 00:41:34,920 MY OWN EXAM ROOM. 1112 00:41:34,920 --> 00:41:38,360 AND I KNOW THAT I HAVE A ZERO 1113 00:41:38,360 --> 00:41:39,360 PERCENT CHANCE OF CHANGING THE 1114 00:41:39,360 --> 00:41:41,280 MIND OF MY PATIENT IF I START 1115 00:41:41,280 --> 00:41:44,400 WITH A LECTURE, WITH A DIATRIBE, 1116 00:41:44,400 --> 00:41:48,320 WITH A YOU MUST DO THIS AND YOU 1117 00:41:48,320 --> 00:41:51,600 OUGHT TO LISTEN TO ME BECAUSE 1118 00:41:51,600 --> 00:41:52,680 I'M THE AUTHORITY. 1119 00:41:52,680 --> 00:41:55,680 THAT JUST DOESN'T WORK AS ANY 1120 00:41:55,680 --> 00:41:56,720 CLINICIAN KNOWS. 1121 00:41:56,720 --> 00:41:58,840 IT HAS TO START WITH LISTENING 1122 00:41:58,840 --> 00:42:04,800 AND IT HAS TO START WITH SOMEONE 1123 00:42:04,800 --> 00:42:06,560 ACTUALLY BELIEVING THAT YOU CARE 1124 00:42:06,560 --> 00:42:08,920 ABOUT THEM AND I CAN TELL YOU 1125 00:42:08,920 --> 00:42:10,600 FROM EXPERIENCE THE BEST WAY TO 1126 00:42:10,600 --> 00:42:15,040 DO THAT IS TO ACTUALLY CARE 1127 00:42:15,040 --> 00:42:15,800 ABOUT THEM. 1128 00:42:15,800 --> 00:42:20,000 SO THAT'S THE PIECE THAT WE HAVE 1129 00:42:20,000 --> 00:42:24,760 TO START WITH IS LISTENING AND 1130 00:42:24,760 --> 00:42:25,640 EMPATHY. 1131 00:42:25,640 --> 00:42:27,360 MY CLINICAL PRACTICE NOW YOU 1132 00:42:27,360 --> 00:42:28,520 MENTIONED I'M AT BELLEVUE 1133 00:42:28,520 --> 00:42:28,800 HOSPITAL. 1134 00:42:28,800 --> 00:42:32,720 I'M SPECIFICALLY IN A CLINIC FOR 1135 00:42:32,720 --> 00:42:34,240 PEOPLE EXPERIENCING 1136 00:42:34,240 --> 00:42:34,600 HOMELESSNESS. 1137 00:42:34,600 --> 00:42:36,120 IT IS INTERESTING TO ME. 1138 00:42:36,120 --> 00:42:38,280 I HAVE BEEN PRACTICING PRIMARY 1139 00:42:38,280 --> 00:42:44,600 CARE ALMOST A DEK DECADE, BUT I 1140 00:42:44,600 --> 00:42:46,760 HAVE BEEN IN THIS CLINIC A FEW 1141 00:42:46,760 --> 00:42:48,000 YEARS. 1142 00:42:48,000 --> 00:42:49,240 MY OWN CLINICAL PRACTICE HAS 1143 00:42:49,240 --> 00:42:52,400 CHANGED WITH THIS SHIFT. 1144 00:42:52,400 --> 00:42:54,800 IN SOME WAYS IT IS SIMPLIFIED 1145 00:42:54,800 --> 00:42:56,720 WHAT MY TASK IS AT THE INITIAL 1146 00:42:56,720 --> 00:42:58,040 VISIT WITH ANY PATIENT. 1147 00:42:58,040 --> 00:43:00,200 AND THAT IS BASICALLY DEVELOPING 1148 00:43:00,200 --> 00:43:02,720 ENOUGH OF A RAPPORT, YOU KNOW, 1149 00:43:02,720 --> 00:43:04,520 HAVING THEM TRUST ME ENOUGH TO 1150 00:43:04,520 --> 00:43:07,520 COME BACK FOR THIS SECOND VISIT. 1151 00:43:07,520 --> 00:43:12,080 THAT IS REALLY WHAT IT BOILS 1152 00:43:12,080 --> 00:43:13,640 DOWN TO. 1153 00:43:13,640 --> 00:43:15,960 SURE I HAVE A LIST OF 15 THINGS 1154 00:43:15,960 --> 00:43:17,680 ON MY CHECKLIST. 1155 00:43:17,680 --> 00:43:21,720 IF I FORGET MY EHR ALERTS I WILL 1156 00:43:21,720 --> 00:43:23,240 MAKE SURE I REMEMBER. 1157 00:43:23,240 --> 00:43:25,160 I DO NEED TO GET ARE THROUGH 1158 00:43:25,160 --> 00:43:31,280 THEM TO MAKE SURE I TAKE CARE OF 1159 00:43:31,280 --> 00:43:32,800 PREVENTIVE SCREENINGS, BLOOD 1160 00:43:32,800 --> 00:43:34,680 PRESSURE AND DIABETES 1161 00:43:34,680 --> 00:43:35,000 SCREENINGS. 1162 00:43:35,000 --> 00:43:36,360 PEOPLE WHO EXPERIENCE 1163 00:43:36,360 --> 00:43:37,200 HOMELESSNESS LIKE SO MANY PEOPLE 1164 00:43:37,200 --> 00:43:39,840 LIVING ON THE MARGINS HAVE 1165 00:43:39,840 --> 00:43:41,720 COMPETING DEMANDS ON THEIR TIME 1166 00:43:41,720 --> 00:43:42,520 AND ATTENTION. 1167 00:43:42,520 --> 00:43:44,720 THE ONLY WAY WE WILL MAKE 1168 00:43:44,720 --> 00:43:47,000 PROGRESS ON THOSE OTHER THINGS 1169 00:43:47,000 --> 00:43:50,400 IS IF WE INCULCATE THAT SENSE OF 1170 00:43:50,400 --> 00:43:51,400 TRUST THROUGH LISTENING AND 1171 00:43:51,400 --> 00:43:53,280 EMPATHY IN THE FIRST PLACE. 1172 00:43:53,280 --> 00:43:54,760 I GUESS THE LAST THING I WILL 1173 00:43:54,760 --> 00:43:57,160 SAY IS ONE OF THE OTHER THINGS 1174 00:43:57,160 --> 00:43:59,000 MY CLINICAL PRACTICE HAS REALLY 1175 00:43:59,000 --> 00:44:00,400 BROUGHT TO THE FORE FOR ME IS 1176 00:44:00,400 --> 00:44:02,720 THE WAYS IN WHICH WE SHOULD BE 1177 00:44:02,720 --> 00:44:07,680 TALKING A LOT MORE ABOUT VICIOUS 1178 00:44:07,680 --> 00:44:12,520 AND VIRTUOUS CYCLES IN HEALTH. 1179 00:44:12,520 --> 00:44:16,560 VICIOUS CYCLES, AGAIN, ANY 1180 00:44:16,560 --> 00:44:18,200 CLINICIAN WILL BE FAMILIAR WITH 1181 00:44:18,200 --> 00:44:18,840 THEM. 1182 00:44:18,840 --> 00:44:21,080 A PATIENT WITH DIABETES GAINING 1183 00:44:21,080 --> 00:44:23,120 WEIGHT WHICH MAKES IT HARDER FOR 1184 00:44:23,120 --> 00:44:25,600 THEM TO EXERCISE WHICH WORSENS 1185 00:44:25,600 --> 00:44:28,200 THEIR DIABETES. 1186 00:44:28,200 --> 00:44:30,400 VIRTUOUS CYCLES ARE WAYS IN 1187 00:44:30,400 --> 00:44:32,800 WHICH WE CAN INTERRUPT THAT 1188 00:44:32,800 --> 00:44:34,080 DOWNWARD SPIRAL AND ULTIMATELY 1189 00:44:34,080 --> 00:44:36,240 TRY TO CREATE AN UPWARD SPIRAL 1190 00:44:36,240 --> 00:44:37,120 FOR PEOPLE. 1191 00:44:37,120 --> 00:44:40,000 SO WE GET THAT IN THE CLINICAL 1192 00:44:40,000 --> 00:44:41,600 CONTEXT, BUT I THINK WE HAVE TO 1193 00:44:41,600 --> 00:44:43,160 BRING IT INTO THE PUBLIC HEALTH 1194 00:44:43,160 --> 00:44:47,400 OR THE BROADER PUBLIC CONTEXT AS 1195 00:44:47,400 --> 00:44:47,800 WELL. 1196 00:44:47,800 --> 00:44:49,680 AND THINK ABOUT THE 1197 00:44:49,680 --> 00:44:51,320 INTERVENTIONS WE SHOULD DEVELOP 1198 00:44:51,320 --> 00:44:53,520 SPECIFICALLY WITH AN EYE TOWARD 1199 00:44:53,520 --> 00:44:54,840 INTERRUPTING VICIOUS CYCLES, 1200 00:44:54,840 --> 00:45:00,120 WHETHER IT IS DUE TO 1201 00:45:00,120 --> 00:45:01,760 HOMELESSNESS OR ECONOMIC 1202 00:45:01,760 --> 00:45:08,080 CIRCUMSTANCES OR SOCIAL 1203 00:45:08,080 --> 00:45:08,800 ISOLATION. 1204 00:45:08,800 --> 00:45:12,160 AND SEEDING VIRTUOUS CYCLES TO 1205 00:45:12,160 --> 00:45:13,160 LIFT PEOPLE UP PARTICULARLY IN 1206 00:45:13,160 --> 00:45:16,600 SOME OF THE LOWEST MOMENTS OF 1207 00:45:16,600 --> 00:45:16,880 THEIR LIVES. 1208 00:45:16,880 --> 00:45:21,000 >> THAT'S FANTASTIC. 1209 00:45:21,000 --> 00:45:22,600 SEEDING VIRTUOUS CYCLES. 1210 00:45:22,600 --> 00:45:24,960 THAT IS DEFINITELY A VERY 1211 00:45:24,960 --> 00:45:25,920 ASPIRATIONAL GOAL WE SHOULD ALL 1212 00:45:25,920 --> 00:45:27,480 BE STRIVING FOR IN TAKING CARE 1213 00:45:27,480 --> 00:45:28,560 OF PEOPLE. 1214 00:45:28,560 --> 00:45:30,800 I WOULD LIKE TO MOVE ON TO 1215 00:45:30,800 --> 00:45:32,040 ANOTHER TOPIC OF HIGH IMPORTANCE 1216 00:45:32,040 --> 00:45:34,560 THAT IS RELATED TO MENTAL HEALTH 1217 00:45:34,560 --> 00:45:34,960 AND WELLNESS. 1218 00:45:34,960 --> 00:45:38,640 SO DR. MURTHY, WE ARE EXCITED 1219 00:45:38,640 --> 00:45:39,840 ABOUT THE RECENT, WAS IT LAST 1220 00:45:39,840 --> 00:45:42,360 WEEK RELEASE OF A NEW SURGEON 1221 00:45:42,360 --> 00:45:45,000 GENERAL'S ADVISORY, THE TITLE IS 1222 00:45:45,000 --> 00:45:47,960 OUR EPIDEMIC OF LONELINESS AND 1223 00:45:47,960 --> 00:45:49,000 ISOLATION, THE SURGEON GENERAL'S 1224 00:45:49,000 --> 00:45:51,240 ADVISORY ON THE HEALING EFFECTS 1225 00:45:51,240 --> 00:45:51,800 OF SOCIAL CONNECTION AND 1226 00:45:51,800 --> 00:45:54,360 COMMUNITY. 1227 00:45:54,360 --> 00:45:57,200 AND THE ADVISORY CONTAINS REALLY 1228 00:45:57,200 --> 00:45:58,160 IMPORTANT AND ACTIONABLE 1229 00:45:58,160 --> 00:46:00,800 INFORMATION ON THE IMPORTANCE OF 1230 00:46:00,800 --> 00:46:03,400 SOCIAL CONNECTION FOR INDIVIDUAL 1231 00:46:03,400 --> 00:46:07,120 HEALTH AS WELL AS ON 1232 00:46:07,120 --> 00:46:08,600 COMMUNITYWIDE METRICS OF HEALTH 1233 00:46:08,600 --> 00:46:11,040 AND WELL BEING AND DESCRIBES THE 1234 00:46:11,040 --> 00:46:11,680 CONSEQUENCES WHEN SOCIAL 1235 00:46:11,680 --> 00:46:12,640 CONNECTIONS IS LACKING. 1236 00:46:12,640 --> 00:46:14,840 WHAT WOULD YOU SHARE WITH US IN 1237 00:46:14,840 --> 00:46:18,000 TERMS OF THE MAJOR TAKEAWAYS 1238 00:46:18,000 --> 00:46:21,400 FROM THE ADVISORY? 1239 00:46:21,400 --> 00:46:23,840 >> SO THANKS FOR MENTIONING IT, 1240 00:46:23,840 --> 00:46:24,080 MONICA. 1241 00:46:24,080 --> 00:46:27,400 THIS IS AN ISSUE THAT REALLY 1242 00:46:27,400 --> 00:46:28,560 CONNECTS DEEPLY TO WHAT DAVE WAS 1243 00:46:28,560 --> 00:46:30,800 TALKING ABOUT WHEN IT COMES TO 1244 00:46:30,800 --> 00:46:32,000 STRENGTHENING PRIMARY CARE. 1245 00:46:32,000 --> 00:46:34,320 ONE OF THE THINGS THAT DAVE IS 1246 00:46:34,320 --> 00:46:36,040 MODELING IN HIS CLINIC, WHICH 1247 00:46:36,040 --> 00:46:37,280 MOST PEOPLE HAVE HAD THE CHANCE 1248 00:46:37,280 --> 00:46:38,800 TO CARE FOR PATIENTS RECOGNIZE 1249 00:46:38,800 --> 00:46:41,680 VERY QUICKLY IS THAT IT IS YOUR 1250 00:46:41,680 --> 00:46:43,400 RELATIONSHIPS WITH YOUR PATIENTS 1251 00:46:43,400 --> 00:46:45,200 THAT ARE AN INCREDIBLY IMPORTANT 1252 00:46:45,200 --> 00:46:46,920 PART OF THE HEALING PROCESS. 1253 00:46:46,920 --> 00:46:48,960 BUT IT TURNS OUT THAT KIND OF 1254 00:46:48,960 --> 00:46:50,240 HEALING DOESN'T COME FROM JUST 1255 00:46:50,240 --> 00:46:52,200 THE RELATIONSHIPS BETWEEN A DR. 1256 00:46:52,200 --> 00:46:54,360 AND A PATIENT, BUT ALL OF OUR 1257 00:46:54,360 --> 00:46:55,680 RELATIONSHIPS, WHICH HAVE THE 1258 00:46:55,680 --> 00:46:57,520 POWER TO HELP US HEAL. 1259 00:46:57,520 --> 00:46:59,240 THE SCIENCE INTERESTINGLY BEARS 1260 00:46:59,240 --> 00:47:00,400 THIS OUT. 1261 00:47:00,400 --> 00:47:02,720 ONE OF THE SORT OF FACTS THAT WE 1262 00:47:02,720 --> 00:47:05,360 ILLUSTRATED IN THE ADVISORY WAS 1263 00:47:05,360 --> 00:47:06,680 THAT WHEN PEOPLE EXPERIENCE 1264 00:47:06,680 --> 00:47:08,160 SOCIAL DISCONNECTION, A FEELING 1265 00:47:08,160 --> 00:47:10,440 OF LONELINESS OR PHYSICAL 1266 00:47:10,440 --> 00:47:12,480 ISOLATION FROM OTHERS, THAT 1267 00:47:12,480 --> 00:47:16,600 ACTUALLY HAS REAL EFFECTS ON 1268 00:47:16,600 --> 00:47:21,000 THEIR MENTAL HEALTH, IT 1269 00:47:21,000 --> 00:47:23,800 INCREASES RISK OF DEPRESSION' 1270 00:47:23,800 --> 00:47:24,280 AND SUICIDE. 1271 00:47:24,280 --> 00:47:28,160 IT HAS EFFECTS ON PHYSICAL 1272 00:47:28,160 --> 00:47:31,880 HEALTH, CARDIOVASCULAR HEALTH. 1273 00:47:31,880 --> 00:47:33,880 AND DEMENTIA. 1274 00:47:33,880 --> 00:47:37,280 THE INCREASE OF RISK OF DEMENTIA 1275 00:47:37,280 --> 00:47:39,400 AMONG OLDER PEOPLE RELATED TO 1276 00:47:39,400 --> 00:47:40,880 SOCIAL DISCONNECTION IS AROUND 1277 00:47:40,880 --> 00:47:41,080 50%. 1278 00:47:41,080 --> 00:47:44,960 WE SEE THE INCREASED RISK OF 1279 00:47:44,960 --> 00:47:46,800 PREMATURE DEATH ASSOCIATED WITH 1280 00:47:46,800 --> 00:47:48,160 SOCIAL DISCONNECTION IS ON PAR 1281 00:47:48,160 --> 00:47:49,280 WITH SMOKING DAILY. 1282 00:47:49,280 --> 00:47:51,280 IT IS GREATER THAN THE RISK WE 1283 00:47:51,280 --> 00:47:53,400 SEE ASSOCIATED WITH OBESITY. 1284 00:47:53,400 --> 00:47:55,960 THINK ABOUT THAT FOR A MOMENT. 1285 00:47:55,960 --> 00:47:59,440 SMOKING, OBESITY, UNQUESTIONABLY 1286 00:47:59,440 --> 00:48:00,560 PUBLIC HEALTH CONCERNS. 1287 00:48:00,560 --> 00:48:02,960 IT TURNS OUT IN THAT SAME BUCKET 1288 00:48:02,960 --> 00:48:08,000 SHOULD BE THE ISSUE OF SOCIAL 1289 00:48:08,000 --> 00:48:08,320 DISCONNECTION. 1290 00:48:08,320 --> 00:48:13,160 THESE ARE SOME OF THE FACTS E ES 1291 00:48:13,160 --> 00:48:16,040 -- FACTS WE LAID OUT TO MAKE 1292 00:48:16,040 --> 00:48:17,400 THE CASE REBUILDING CONNECTION 1293 00:48:17,400 --> 00:48:19,200 IN H OUR LIVES HAS TO BE A 1294 00:48:19,200 --> 00:48:20,560 NATIONAL PRIORITY. 1295 00:48:20,560 --> 00:48:22,440 IT IS EVEN BIGGER THAN HEALTH. 1296 00:48:22,440 --> 00:48:24,360 WE KNOW WHEN PEOPLE ARE 1297 00:48:24,360 --> 00:48:25,520 DISCONNECTED FROM ONE ANOTHER, 1298 00:48:25,520 --> 00:48:28,800 IT AFFECTS HOW KIDS PERFORM IN 1299 00:48:28,800 --> 00:48:30,080 SCHOOL, HOW PEOPLE PERFORM IN 1300 00:48:30,080 --> 00:48:34,960 THE WORK PLACE, IMPACTS 1301 00:48:34,960 --> 00:48:38,200 PRODUCTIVITY AND CREATIVITY. 1302 00:48:38,200 --> 00:48:40,400 AND CIVIL ENGAGEMENT AND TO HAVE 1303 00:48:40,400 --> 00:48:41,200 HEALTHY DISCOURSE. 1304 00:48:41,200 --> 00:48:42,520 WHEN WE LOOK AT COMMUNITIES THAT 1305 00:48:42,520 --> 00:48:44,240 ARE MORE CONNECTED TO ONE 1306 00:48:44,240 --> 00:48:45,560 ANOTHER WE ALSO FIND THEIR RATES 1307 00:48:45,560 --> 00:48:47,480 OF VIOLENCE ARE LOWER, THAT 1308 00:48:47,480 --> 00:48:49,000 THEIR RATES OF ECONOMIC 1309 00:48:49,000 --> 00:48:51,480 PROSPERITY ARE HIGHER, AND THEIR 1310 00:48:51,480 --> 00:48:53,800 RESILIENCE IS ALSO GREATER IN 1311 00:48:53,800 --> 00:48:55,800 THE FACE OF NATURAL DISASTERS 1312 00:48:55,800 --> 00:48:56,920 LIKES HURRICANES AND TORNADOES. 1313 00:48:56,920 --> 00:48:59,480 ALL OF THIS IS THE CASE BECAUSE 1314 00:48:59,480 --> 00:49:00,320 SOCIAL CONNECTION IS SOMETHING 1315 00:49:00,320 --> 00:49:03,360 THAT IS VITAL FOR OUR OVERALL 1316 00:49:03,360 --> 00:49:04,680 HEALTH AND WELL BEING. 1317 00:49:04,680 --> 00:49:06,120 IT IS LIKE FOOD AND WATER. 1318 00:49:06,120 --> 00:49:08,240 SOMETHING WE NEED FOR OUR 1319 00:49:08,240 --> 00:49:08,520 SURVIVAL. 1320 00:49:08,520 --> 00:49:10,200 WHEN WE DON'T HAVE IT, THAT 1321 00:49:10,200 --> 00:49:12,600 COMES IN AND THE FEELING OF 1322 00:49:12,600 --> 00:49:14,600 LONELINESS, WHICH IS SIMILAR TO 1323 00:49:14,600 --> 00:49:15,400 HUNGER OR THIRST. 1324 00:49:15,400 --> 00:49:17,920 WE LAID OUT IN THE ADVISORY A 1325 00:49:17,920 --> 00:49:21,800 SERIES OF STEPS WE CAN TAKE AS A 1326 00:49:21,800 --> 00:49:22,240 KOUN 1327 00:49:22,240 --> 00:49:23,920 COUNTRY, STEPS WE CAN TAKE AS 1328 00:49:23,920 --> 00:49:26,600 INDIVIDUALS TO ADDRESS 1329 00:49:26,600 --> 00:49:26,920 LONELINESS. 1330 00:49:26,920 --> 00:49:29,560 FROM BROADER POLICY ORIENTED 1331 00:49:29,560 --> 00:49:31,200 STEPS, LIKE INVESTING IN SOCIAL 1332 00:49:31,200 --> 00:49:32,960 INFRASTRUCTURE, POLICIES AND 1333 00:49:32,960 --> 00:49:34,400 PROGRAMS THAT BRING US TOGETHER 1334 00:49:34,400 --> 00:49:36,720 IN OUR COMMUNITIES AND CREATE 1335 00:49:36,720 --> 00:49:38,600 SPACES FOR PEOPLE TO ENCOUNTER 1336 00:49:38,600 --> 00:49:39,560 ONE ANOTHER. 1337 00:49:39,560 --> 00:49:42,840 INVESTMENTS IN RESEARCH AND 1338 00:49:42,840 --> 00:49:45,200 BROADEN OUR UNDERSTANDING OF 1339 00:49:45,200 --> 00:49:46,480 WORK. 1340 00:49:46,480 --> 00:49:49,400 IT HAS STEPS THE HEALTH CARE 1341 00:49:49,400 --> 00:49:51,400 SYSTEM CAN TAKE TO SCREEN PEOPLE 1342 00:49:51,400 --> 00:49:53,080 FOR LONELINESS AND TO REFER 1343 00:49:53,080 --> 00:49:54,480 THOSE INDIVIDUALS TO PROGRAMS IN 1344 00:49:54,480 --> 00:49:56,640 THE COMMUNITY THAT CAN HELP THEM 1345 00:49:56,640 --> 00:49:57,640 BUILD STRONGER SOCIAL CONNECTION 1346 00:49:57,640 --> 00:50:00,640 AND SO WHILE THERE IS A LOT IN 1347 00:50:00,640 --> 00:50:02,600 THE ADVISORY, I WILL LASTLY 1348 00:50:02,600 --> 00:50:04,040 POINT OUT THE STEPS WE LAY OUT 1349 00:50:04,040 --> 00:50:05,200 FOR INDIVIDUALS. 1350 00:50:05,200 --> 00:50:07,320 IT TURNS OUT ONE OF THE MOST 1351 00:50:07,320 --> 00:50:09,520 PAINFUL THINGS ABOUT LONELINESS 1352 00:50:09,520 --> 00:50:13,080 CAN BE STRUGGLING WITH THE 1353 00:50:13,080 --> 00:50:16,120 DEEPENING SENSE OF, I THINK, OF 1354 00:50:16,120 --> 00:50:17,000 DISEMPOWERMENT AND LACK OF 1355 00:50:17,000 --> 00:50:18,800 AGENCY WHEN COMES WHEN YOU 1356 00:50:18,800 --> 00:50:20,960 STRUGGLE WITH LONELINESS. 1357 00:50:20,960 --> 00:50:22,400 OVER TIME YOU THINK YOU ARE 1358 00:50:22,400 --> 00:50:24,760 LONELY BECAUSE YOU ARE NOT 1359 00:50:24,760 --> 00:50:26,480 LIKABLE, ITS IS YOUR FAULT, IT 1360 00:50:26,480 --> 00:50:27,840 IS TOO HARD TO BUILD CONNECTIONS 1361 00:50:27,840 --> 00:50:29,360 WITH OTHER PEOPLE. 1362 00:50:29,360 --> 00:50:31,160 LONELINESS IS A DOWNWARD SPIRAL. 1363 00:50:31,160 --> 00:50:33,720 ONE OF THE THINGS WE ALL CAN 1364 00:50:33,720 --> 00:50:35,840 ACTUALLY REACH FOR TO HELP BREAK 1365 00:50:35,840 --> 00:50:37,400 THAT SPIRAL IS SERVICE. 1366 00:50:37,400 --> 00:50:39,880 WHEN WE SERVE OTHER PEOPLE, 1367 00:50:39,880 --> 00:50:41,000 VOLUNTEERING IN A SOUP KITCHEN 1368 00:50:41,000 --> 00:50:42,320 OR IN AN ORGANIZATION IN OUR 1369 00:50:42,320 --> 00:50:44,200 COMMUNITY OR HELPING SOMEBODY IN 1370 00:50:44,200 --> 00:50:47,400 OUR LIFE WHO HAS A NEED, A 1371 00:50:47,400 --> 00:50:50,200 CO-WORKER IN THE OFFICE OR 1372 00:50:50,200 --> 00:50:51,400 SOMEBODY IN OUR NEIGHBORHOOD, 1373 00:50:51,400 --> 00:50:53,360 THOSE MOMENTS ARE POWERFUL. 1374 00:50:53,360 --> 00:50:55,600 THEY CONNECT US AUTOMATICALLY TO 1375 00:50:55,600 --> 00:50:57,920 SOMEBODY ELSE IN A WAY THAT 1376 00:50:57,920 --> 00:50:58,320 FEELS MEANINGFUL. 1377 00:50:58,320 --> 00:51:00,520 IT REMINDS US WE HAVE VALUE TO 1378 00:51:00,520 --> 00:51:01,960 BRING TO THE WORLD WHICH IS 1379 00:51:01,960 --> 00:51:03,680 SOMETHING WE OFTEN FORGET WHEN 1380 00:51:03,680 --> 00:51:05,920 WE ARE STRUGGLING WITH 1381 00:51:05,920 --> 00:51:06,200 LONELINESS. 1382 00:51:06,200 --> 00:51:07,840 IN THIS MOMENT WHEN WE ARE 1383 00:51:07,840 --> 00:51:12,960 SEEING WHERE ONE IN TWO ADULTS 1384 00:51:12,960 --> 00:51:15,280 ARE RECOGNIZING MEASURABLE 1385 00:51:15,280 --> 00:51:16,800 LOINLINESS AND THE YOUNG PEOPLE 1386 00:51:16,800 --> 00:51:18,640 ARE THE GROUP EXPERIENCING THE 1387 00:51:18,640 --> 00:51:21,240 HIGHEST LEVELS OF LONELINESS, WE 1388 00:51:21,240 --> 00:51:22,760 HAVE TO THINK ABOUT HOW TO 1389 00:51:22,760 --> 00:51:26,400 REINVEST IN EACH OTHER, HOW TO 1390 00:51:26,400 --> 00:51:27,480 REIMAGINE AND REIDENTIFY 1391 00:51:27,480 --> 00:51:28,480 OURSELVES AS PEOPLE WHO ARE 1392 00:51:28,480 --> 00:51:29,600 THERE FOR ONE ANOTHER. 1393 00:51:29,600 --> 00:51:31,480 IF WE DON'T RECOMMIT TO EACH 1394 00:51:31,480 --> 00:51:33,720 OTHER IN THIS MOMENT MY WORRY IS 1395 00:51:33,720 --> 00:51:36,360 WE WILL BECOME LONELIER AND 1396 00:51:36,360 --> 00:51:39,000 LONELIER AND HARDER TO TAKE ON 1397 00:51:39,000 --> 00:51:42,280 ADVERSITY WHEN IT COMES OUR WAY. 1398 00:51:42,280 --> 00:51:44,000 A FUTURE PANDEMIC, CLIMATE 1399 00:51:44,000 --> 00:51:46,240 CHANGE OR ONGOING CHALLENGE WITH 1400 00:51:46,240 --> 00:51:47,040 RACISM. 1401 00:51:47,040 --> 00:51:48,920 IT IS THE SMALL STEPS THAT MAKE 1402 00:51:48,920 --> 00:51:49,600 THE DIFFERENCE HERE. 1403 00:51:49,600 --> 00:51:51,640 I WILL TELL YOU IF YOU ARE 1404 00:51:51,640 --> 00:51:52,840 LISTENING TO THIS CALL AND 1405 00:51:52,840 --> 00:51:54,800 STRUGGLING WITH A SENSE OF 1406 00:51:54,800 --> 00:51:56,240 LONELINESS YOURSELF AS I HAVE AT 1407 00:51:56,240 --> 00:52:00,120 MANY POINTS IN MY OWN LIFE 1408 00:52:00,120 --> 00:52:01,680 INCLUDING ADULTHOOD AS WELL AS 1409 00:52:01,680 --> 00:52:01,960 CHILDHOOD. 1410 00:52:01,960 --> 00:52:04,640 JUST SPENDING 15 MINUTES A DAY 1411 00:52:04,640 --> 00:52:07,400 REACHING OUT TO PEOPLE YOU CARE 1412 00:52:07,400 --> 00:52:09,160 ABOUT CAN MAKE A BIG DIFFERENCE 1413 00:52:09,160 --> 00:52:10,400 IN YOU HOW FEEL. 1414 00:52:10,400 --> 00:52:12,360 MAKE SURE WHEN YOU TALK TO 1415 00:52:12,360 --> 00:52:15,280 SOMEONE, A FAMILY MEMBER OR 1416 00:52:15,280 --> 00:52:17,240 FRIEND, GIVE THEM YOUR FULL 1417 00:52:17,240 --> 00:52:18,680 ATTENTION, PUT YOUR TWICE AWAY. 1418 00:52:18,680 --> 00:52:21,520 THAT CAN DEEPEN THE CONNECTION 1419 00:52:21,520 --> 00:52:22,720 AND STRENGTHEN THE BOND. 1420 00:52:22,720 --> 00:52:24,320 OF COURSE FINDING WAYS TO SERVE 1421 00:52:24,320 --> 00:52:26,800 AND HELPING ONE ANOTHER IS ONE 1422 00:52:26,800 --> 00:52:28,920 OF THE MOST POWERFUL ANTIDOTES. 1423 00:52:28,920 --> 00:52:31,320 WE HAVE A LOT OF WORK TO DO. 1424 00:52:31,320 --> 00:52:34,160 FOR ME, IT IS AN URGENT PUBLIC 1425 00:52:34,160 --> 00:52:37,800 HEALTH ISSUE, WITH PROFOUND 1426 00:52:37,800 --> 00:52:38,880 IMPLICATIONS WITH PHYSICAL 1427 00:52:38,880 --> 00:52:40,000 HEALTH AND MENTAL HEALTH AND 1428 00:52:40,000 --> 00:52:41,400 HEALTH OF SOCIETY. 1429 00:52:41,400 --> 00:52:43,320 >> THAT IS REALLY IMPORTANT AND 1430 00:52:43,320 --> 00:52:45,160 I APPRECIATE HOW YOU 1431 00:52:45,160 --> 00:52:45,840 INCORPORATED MORE OF WHAT PEOPLE 1432 00:52:45,840 --> 00:52:46,480 CAN DO. 1433 00:52:46,480 --> 00:52:48,000 ON THAT NOTE, WE HAVE A COUPLE 1434 00:52:48,000 --> 00:52:49,800 OF QUESTIONS THAT HAVE COME IN 1435 00:52:49,800 --> 00:52:51,760 RELATED TO WHAT YOU ARE 1436 00:52:51,760 --> 00:52:52,040 DISCUSSING. 1437 00:52:52,040 --> 00:52:53,480 I WOULD LIKE TO BRING THOSE IN 1438 00:52:53,480 --> 00:52:55,000 AND HAVE YOUR THOUGHTS ON THEM. 1439 00:52:55,000 --> 00:52:57,000 ONE IS QUESTIONS FROM THE 1440 00:52:57,000 --> 00:52:58,000 AUDIENCE ASKING ABOUT HOW 1441 00:52:58,000 --> 00:53:00,040 THOUGHT LEADERS AND ADVOCATES 1442 00:53:00,040 --> 00:53:02,360 CAN GET INVOLVED WITH YOUR WORK 1443 00:53:02,360 --> 00:53:03,800 ON SOCIAL ISOLATION. 1444 00:53:03,800 --> 00:53:08,480 AND THEN ALSO WHAT WOULD YOU 1445 00:53:08,480 --> 00:53:13,600 THINK ABOUT THE INTEGRATION OF 1446 00:53:13,600 --> 00:53:14,800 SPIRITUALITY IN HEALTH 1447 00:53:14,800 --> 00:53:16,360 APPROACHES TO ADDRESS THIS AS AN 1448 00:53:16,360 --> 00:53:17,400 OPPORTUNITY? 1449 00:53:17,400 --> 00:53:19,760 >> I WOULD SAY THOSE INTERESTED 1450 00:53:19,760 --> 00:53:21,280 IN HELPING BUILD GREATER 1451 00:53:21,280 --> 00:53:22,920 CONNECTION, THIS STARTS WITH US 1452 00:53:22,920 --> 00:53:25,800 AND OUR OWN LIVES. 1453 00:53:25,800 --> 00:53:28,720 TAKING STEPS TO STRENGTHEN 1454 00:53:28,720 --> 00:53:30,800 CONNECTION IN YOUR OWN LIVES. 1455 00:53:30,800 --> 00:53:32,480 THE NEXT STEP IS TO LOOK AT 1456 00:53:32,480 --> 00:53:34,600 ENVIRONMENTS YOU ARE OPERATING, 1457 00:53:34,600 --> 00:53:35,760 YOUR WORK PLACE, NEIGHBORHOOD, 1458 00:53:35,760 --> 00:53:38,400 IF YOU ARE IN SCHOOL AS WELL, IT 1459 00:53:38,400 --> 00:53:39,560 COULD BE THE CLASSROOM OR 1460 00:53:39,560 --> 00:53:41,560 COMMUNITY OF CLASSMATES. 1461 00:53:41,560 --> 00:53:43,880 THESE ARE ALL SPACES WHERE SMALL 1462 00:53:43,880 --> 00:53:47,240 STEPS FROM YOU CAN CAT LIZ 1463 00:53:47,240 --> 00:53:48,800 GREATER COMMUNITIES. 1464 00:53:48,800 --> 00:53:50,400 THINK ABOUT IN YOUR NEIGHBORHOOD 1465 00:53:50,400 --> 00:53:52,000 DOING WHAT MY WIFE DOES SO WELL 1466 00:53:52,000 --> 00:53:54,480 AND I'M TRYING TO LEARN FROM 1467 00:53:54,480 --> 00:53:55,240 HER. 1468 00:53:55,240 --> 00:53:57,080 SHE PERIODICALLY SENDS AN E-MAIL 1469 00:53:57,080 --> 00:53:59,160 TO OUR NEIGHBORS AND SAY, WHY 1470 00:53:59,160 --> 00:54:01,560 DON'T WE GET TOGETHER. 1471 00:54:01,560 --> 00:54:03,280 PEOPLE HAVEN'T SEEN EACH OTHER 1472 00:54:03,280 --> 00:54:04,840 IN A LONG TIME AND IT OPENS UP 1473 00:54:04,840 --> 00:54:06,200 OUR DOORS. 1474 00:54:06,200 --> 00:54:08,440 I'LL TELL YOU, PEOPLE ARE SO 1475 00:54:08,440 --> 00:54:11,160 EXCITED TO COME TO THOSE GET 1476 00:54:11,160 --> 00:54:11,600 TOGETHERS. 1477 00:54:11,600 --> 00:54:12,960 THEY USE INTERESTING WORDS. 1478 00:54:12,960 --> 00:54:14,760 THANK YOU FOR YOUR COURAGE TO 1479 00:54:14,760 --> 00:54:15,840 BRING US TOGETHER. 1480 00:54:15,840 --> 00:54:19,960 THE FIRST TIME I HEARD THAT I 1481 00:54:19,960 --> 00:54:21,360 REALIZED PEOPLE FEEL SCARED TO 1482 00:54:21,360 --> 00:54:23,800 GET TOGETHER AND THEY THINK OF 1483 00:54:23,800 --> 00:54:26,120 FOLKS WHO ORGANIZE GET TOGETHERS 1484 00:54:26,120 --> 00:54:27,680 AS COURAGEOUS. 1485 00:54:27,680 --> 00:54:29,680 I THINK THAT IS THE FACT THAT IN 1486 00:54:29,680 --> 00:54:32,200 SOME WAYS WE HAVE COME TO ADOPT 1487 00:54:32,200 --> 00:54:34,280 A LIFE WE JUST ASSUME WE ARE ON 1488 00:54:34,280 --> 00:54:36,600 OUR OWN AND IT FEELS INTRUSIVE 1489 00:54:36,600 --> 00:54:38,600 TO BE A PART OF SOMEONE ELSE'S 1490 00:54:38,600 --> 00:54:40,240 LIFE OR GO TO THEIR HOUSE OR 1491 00:54:40,240 --> 00:54:40,880 HAVE THEM OVER. 1492 00:54:40,880 --> 00:54:42,920 THAT IS THE NORM. 1493 00:54:42,920 --> 00:54:44,760 HOW WE HAVE EXISTED FOR HUNDREDS 1494 00:54:44,760 --> 00:54:47,080 IF NOT HOWS OF YEARS, BEING A 1495 00:54:47,080 --> 00:54:49,320 PART OF EACH OTHER'S LIVES, 1496 00:54:49,320 --> 00:54:51,040 LIVING TOGETHER, EATING 1497 00:54:51,040 --> 00:54:52,600 TOGETHER, CELEBRATING TOGETHER, 1498 00:54:52,600 --> 00:54:54,040 MOURNING TOGETHER. 1499 00:54:54,040 --> 00:54:55,520 THESE ARE SMALL THINGS YOU CAN 1500 00:54:55,520 --> 00:54:57,200 DO IN YOUR NEIGHBORHOOD AND IN 1501 00:54:57,200 --> 00:54:58,600 YOUR WORK PLACE. 1502 00:54:58,600 --> 00:55:01,240 CREATING SPACES FOR PEOPLE TO 1503 00:55:01,240 --> 00:55:01,480 GATHER. 1504 00:55:01,480 --> 00:55:04,200 NOT ONLY FOR WORK, BUT TO GET TO 1505 00:55:04,200 --> 00:55:05,040 KNOW ONE ANOTHER. 1506 00:55:05,040 --> 00:55:09,560 WE DO A HUMANS OF OSG, OSG 1507 00:55:09,560 --> 00:55:11,000 STANDS FOR THE OFFICE OF THE 1508 00:55:11,000 --> 00:55:12,080 SURGEON GENERAL. 1509 00:55:12,080 --> 00:55:14,720 IT IS A 10-MINUTE EXERCISE WHERE 1510 00:55:14,720 --> 00:55:16,040 ONE OFFICE MEMBER INTERVIEWS 1511 00:55:16,040 --> 00:55:17,520 ANOTHER ABOUT THEIR LIFE. 1512 00:55:17,520 --> 00:55:22,400 MAYBE THEIR CHILDHOOD, HOBBIES, 1513 00:55:22,400 --> 00:55:23,600 DREAMS AND WHAT THEY WANTED TO 1514 00:55:23,600 --> 00:55:25,720 DO GROWING UP, THE 1515 00:55:25,720 --> 00:55:27,200 DISAPPOINTMENT OF THAT AND 1516 00:55:27,200 --> 00:55:28,800 PEOPLE WHO MEANT THE MOST TO 1517 00:55:28,800 --> 00:55:30,920 THEM OVER THE COURSE OF THEIR 1518 00:55:30,920 --> 00:55:31,120 LIFE. 1519 00:55:31,120 --> 00:55:33,160 THESE ARE THE STORIES THAT HELP 1520 00:55:33,160 --> 00:55:34,240 US KNOW PEOPLE. 1521 00:55:34,240 --> 00:55:35,600 EVEN FIVE OR 10 MINUTES OF 1522 00:55:35,600 --> 00:55:36,640 CONVERSATION LIKE THAT MAKES SO 1523 00:55:36,640 --> 00:55:39,000 MANY OF US IN OUR OFFICE FEEL 1524 00:55:39,000 --> 00:55:41,200 CLOSER AND MORE CONNECTED TO THE 1525 00:55:41,200 --> 00:55:42,760 PEOPLE, THE PERSON WHO IS 1526 00:55:42,760 --> 00:55:43,040 INTERVIEWED. 1527 00:55:43,040 --> 00:55:44,800 SO THESE ARE SMALL STEPS, BUT, 1528 00:55:44,800 --> 00:55:46,640 AGAIN, WHEN IT COMES TO THE WORK 1529 00:55:46,640 --> 00:55:48,320 OF HUMAN CONNECTION IT IS THOSE 1530 00:55:48,320 --> 00:55:50,600 SMALL STEPS THAT MAKE A BIG 1531 00:55:50,600 --> 00:55:52,760 DIFFERENCE IN HOW CONNECTED WE 1532 00:55:52,760 --> 00:55:53,320 FEEL. 1533 00:55:53,320 --> 00:55:53,920 >> THANK YOU VERY MUCH. 1534 00:55:53,920 --> 00:55:56,720 >> ONE LAST THING, MONICA, IN 30 1535 00:55:56,720 --> 00:56:00,600 SECONDS. 1536 00:56:00,600 --> 00:56:00,960 SPIRITUALITY. 1537 00:56:00,960 --> 00:56:05,360 SINCE I WAS BROAD UP, 100% I 1538 00:56:05,360 --> 00:56:07,200 BELIEVE THERE IS A PLACE FOR 1539 00:56:07,200 --> 00:56:08,600 SPIRITUALLY AND FAITH-BASED 1540 00:56:08,600 --> 00:56:08,920 COMMUNITIES. 1541 00:56:08,920 --> 00:56:11,760 WE HAVE SEEN A DECLINE IN FAITH 1542 00:56:11,760 --> 00:56:12,040 COMMUNITIES. 1543 00:56:12,040 --> 00:56:15,200 THAT HAS LIKELY HAD AN IMPACT ON 1544 00:56:15,200 --> 00:56:16,280 HOW CONNECTED WITH ARE. 1545 00:56:16,280 --> 00:56:19,120 IT IS NOT THE ONLY REASON WE ARE 1546 00:56:19,120 --> 00:56:21,200 FEELING LONELY, BUT A BIG ONE. 1547 00:56:21,200 --> 00:56:22,880 SPIRITUAL AND FAITH COMMUNITIES 1548 00:56:22,880 --> 00:56:24,920 ARE VITAL WHEN IT COMES TO 1549 00:56:24,920 --> 00:56:26,280 REBUILDING CONNECTION IN OUR 1550 00:56:26,280 --> 00:56:26,520 COUNTRY. 1551 00:56:26,520 --> 00:56:28,440 >> THANK YOU FOR ADDING THAT, 1552 00:56:28,440 --> 00:56:29,840 THE SPIRITUALITY QUESTION FROM 1553 00:56:29,840 --> 00:56:30,480 THE AUDIENCE. 1554 00:56:30,480 --> 00:56:32,080 I DO WANT TO ASK ANOTHER 1555 00:56:32,080 --> 00:56:33,520 QUESTION ABOUT THIS AND I 1556 00:56:33,520 --> 00:56:35,000 REALIZE WE HAVE FOUR MINUTES 1557 00:56:35,000 --> 00:56:37,000 LEFT, SO I'M GOING TO ASK ONE 1558 00:56:37,000 --> 00:56:38,960 MORE QUESTION, TRY TO 1559 00:56:38,960 --> 00:56:39,600 INCORPORATE ANOTHER QUESTION 1560 00:56:39,600 --> 00:56:41,160 THAT CAME IN FROM THE AUDIENCE 1561 00:56:41,160 --> 00:56:41,840 WITH THIS QUESTION. 1562 00:56:41,840 --> 00:56:44,720 THIS POTENTIALLY LAST QUESTION 1563 00:56:44,720 --> 00:56:47,400 IS DIRECTED AT DR. CHOKSHI. 1564 00:56:47,400 --> 00:56:50,240 YOU HAVE ALSO WORKED TO IMPROVE 1565 00:56:50,240 --> 00:56:52,200 MENTAL HEALTH AGAINST RACIAL AND 1566 00:56:52,200 --> 00:56:53,000 ETHNIC MINORITY COMMUNITY 1567 00:56:53,000 --> 00:56:53,240 MEMBERS. 1568 00:56:53,240 --> 00:56:56,200 WE KNOW THERE ARE SIGNIFICANT 1569 00:56:56,200 --> 00:56:58,920 STIGMAS THAT EXIST TO NORMALIZE 1570 00:56:58,920 --> 00:57:01,160 MENTAL HEALTH, EVEN ACKNOWLEDGE 1571 00:57:01,160 --> 00:57:02,760 FEELINGS OF SOCIAL ISOLATION, 1572 00:57:02,760 --> 00:57:04,400 LACK OF CONNECTEDNESS. 1573 00:57:04,400 --> 00:57:06,520 CAN YOU TALK ABOUT THIS TOPIC, 1574 00:57:06,520 --> 00:57:08,240 IN ADDITION TO HOW PUBLIC HEALTH 1575 00:57:08,240 --> 00:57:09,800 PROFESSIONALS AND HEALTH CARE 1576 00:57:09,800 --> 00:57:11,800 PROVIDERS CAN WORK TO GAIN TRUST 1577 00:57:11,800 --> 00:57:13,800 AROUND WHEN ONE SHOULD SEEK 1578 00:57:13,800 --> 00:57:14,520 ASSISTANCE FOR MENTAL HEALTH, 1579 00:57:14,520 --> 00:57:16,960 HOW TO ADDRESS THE INFORMATION 1580 00:57:16,960 --> 00:57:19,680 IN THE MEDIA THAT MAY NOT BE 1581 00:57:19,680 --> 00:57:20,800 HELPFUL TO OUR PUBLIC HEALTH AND 1582 00:57:20,800 --> 00:57:23,560 WE KNOW THAT THE STIGMA EXISTS 1583 00:57:23,560 --> 00:57:25,960 FOR MENTAL HEALTH CARE ALSO IN 1584 00:57:25,960 --> 00:57:27,400 ASIAN AMERICAN, NATIVE HAWAIIAN 1585 00:57:27,400 --> 00:57:29,760 AND PACIFIC ISLANDER COMMUNITIES 1586 00:57:29,760 --> 00:57:30,520 ACROSS THE LIFE SPAN. 1587 00:57:30,520 --> 00:57:32,640 ANY THOUGHTS HOW WE CAN PROVIDE 1588 00:57:32,640 --> 00:57:36,120 SUPPORT, ADDRESS THE TRUST AND 1589 00:57:36,120 --> 00:57:37,320 NORMALIZE THESE IMPORTANT 1590 00:57:37,320 --> 00:57:37,560 ISSUES. 1591 00:57:37,560 --> 00:57:39,240 >> THANK YOU, MONICA. 1592 00:57:39,240 --> 00:57:42,360 THESE ARE EXTREMELY IMPORTANT. 1593 00:57:42,360 --> 00:57:43,720 THESE ARE LIFE-OR-DEATH 1594 00:57:43,720 --> 00:57:46,240 QUESTIONS THAT WE ARE ALL 1595 00:57:46,240 --> 00:57:47,000 GRAPPLING WITH. 1596 00:57:47,000 --> 00:57:49,800 MY STARTING POINT AS VIVEK 1597 00:57:49,800 --> 00:57:51,480 ALLUDED TO IS SO MUCH OF OUR 1598 00:57:51,480 --> 00:57:55,160 MENTAL HEALTH IS ROOTED IN 1599 00:57:55,160 --> 00:57:56,160 TRAUMA. 1600 00:57:56,160 --> 00:57:57,520 IT'S TRUE AT THE INDIVIDUAL 1601 00:57:57,520 --> 00:58:01,400 LEVEL, WHICH IS WHY WE NEED 1602 00:58:01,400 --> 00:58:03,160 TRAUMA-INFORMED APPROACHES IN 1603 00:58:03,160 --> 00:58:05,000 HEALTH CARE SETTINGS, BUT ACROSS 1604 00:58:05,000 --> 00:58:07,040 A BROAD ARRAY OF SETTINGS. 1605 00:58:07,040 --> 00:58:09,440 I THINK THE LEAP WE HAVE TO MAKE 1606 00:58:09,440 --> 00:58:13,240 IS TO ALSO RECOGNIZE THAT THAT 1607 00:58:13,240 --> 00:58:17,240 LINKAGE TO TRAUMA IS TRUE AT THE 1608 00:58:17,240 --> 00:58:18,080 POPULATION LEVEL AS WELL. 1609 00:58:18,080 --> 00:58:21,000 AND THIS IS WHY WE NEED TO 1610 00:58:21,000 --> 00:58:23,000 RECKON WITH HISTORICAL TRAUMA, 1611 00:58:23,000 --> 00:58:26,040 WHICH CONNECTS THESE IMPORTANT 1612 00:58:26,040 --> 00:58:27,880 CONVERSATIONS AROUND THE HISTORY 1613 00:58:27,880 --> 00:58:31,400 OF RACISM AND XENOPHOBIA, TO 1614 00:58:31,400 --> 00:58:34,600 WHAT PEOPLE ARE EXPERIENCING AND 1615 00:58:34,600 --> 00:58:35,760 SUFFERING FROM TODAY. 1616 00:58:35,760 --> 00:58:38,440 WE TALKED ABOUT HOW COVID-19, 1617 00:58:38,440 --> 00:58:40,600 AMONG OTHER THINGS HAS LAID BEAR 1618 00:58:40,600 --> 00:58:44,120 THE CATASTROPHIC COMBUSTIBILITY 1619 00:58:44,120 --> 00:58:46,280 OF ILLNESS INTERSECTING WITH 1620 00:58:46,280 --> 00:58:47,640 HISTORICAL PATTERNS OF 1621 00:58:47,640 --> 00:58:47,960 INJUSTICE. 1622 00:58:47,960 --> 00:58:52,800 WE HAVE TO SAY FOR THE ASIAN AND 1623 00:58:52,800 --> 00:58:53,800 PACIFIC ISLANDER COMMUNITIER, 1624 00:58:53,800 --> 00:58:55,720 THIS IS NOT JUST WITH OUR LOVED 1625 00:58:55,720 --> 00:58:57,680 ONES GETTING SICK, NOT JUST 1626 00:58:57,680 --> 00:58:59,840 HUNGER AND HOUSING INSTABILITY 1627 00:58:59,840 --> 00:59:02,000 AS WE SAW DURING THE PANDEMIC, 1628 00:59:02,000 --> 00:59:04,800 BUT ALSO INCREASED STIGMA AND 1629 00:59:04,800 --> 00:59:05,000 HATE. 1630 00:59:05,000 --> 00:59:08,720 AND THERE WERE A NUMBER OF 1631 00:59:08,720 --> 00:59:10,400 EXTRAORDINARILY PAINFUL, VIOLENT 1632 00:59:10,400 --> 00:59:13,040 INCIDENTS IN NEW YORK CITY AND 1633 00:59:13,040 --> 00:59:14,400 ACROSS THE COUNTRY BECAUSE OF 1634 00:59:14,400 --> 00:59:18,280 THAT STIGMA AND HATE. 1635 00:59:18,280 --> 00:59:22,000 SO I DO THINK THAT A BIG PART OF 1636 00:59:22,000 --> 00:59:23,560 EQUATION HERE WITH RESPECT TO 1637 00:59:23,560 --> 00:59:30,600 WHAT WE NEED TO DO IS TO FOCUS 1638 00:59:30,600 --> 00:59:33,400 ON YOUTH MENTAL HEALTH AS VIVEK 1639 00:59:33,400 --> 00:59:35,000 AND HIS OFFICE HAVE ALSO CALLED 1640 00:59:35,000 --> 00:59:36,800 ATTENTION TO, BOTH IN TERMS OF 1641 00:59:36,800 --> 00:59:38,720 THE RECENT ADVISORY ON SOCIAL 1642 00:59:38,720 --> 00:59:41,720 CONNECTION, BUT A DEDICATED 1643 00:59:41,720 --> 00:59:43,120 ADVISORY LAST YEAR ON YOUTH 1644 00:59:43,120 --> 00:59:43,480 MENTAL HEALTH. 1645 00:59:43,480 --> 00:59:45,920 I WILL SHARE FROM A PERSONAL 1646 00:59:45,920 --> 00:59:47,160 PERSPECTIVE, MY WIFE IS AN 1647 00:59:47,160 --> 00:59:47,400 EDUCATOR. 1648 00:59:47,400 --> 00:59:50,320 SHE WORKS AT A PUBLIC MIDDLE 1649 00:59:50,320 --> 00:59:51,680 SCHOOL HERE IN QUEENS. 1650 00:59:51,680 --> 00:59:53,920 AND I'LL JUST QUOTE HER FOR A 1651 00:59:53,920 --> 00:59:54,160 SECOND. 1652 00:59:54,160 --> 00:59:56,560 SHE SAYS THE KIDS AREN'T THE 1653 00:59:56,560 --> 00:59:56,880 PROBLEM. 1654 00:59:56,880 --> 01:00:00,920 IT'S ALWAYS THE ADULTS. 1655 01:00:00,920 --> 01:00:02,200 AND SO IT IS ON US. 1656 01:00:02,200 --> 01:00:06,960 IT IS ON US TO CULTIVATE 1657 01:00:06,960 --> 01:00:09,320 BELONGING, NOT JUST AS AN 1658 01:00:09,320 --> 01:00:12,080 ANTIDOTE TO LONELINESS AS VIVEK 1659 01:00:12,080 --> 01:00:14,880 HAS SAID, BUT BELONGING AS AN 1660 01:00:14,880 --> 01:00:19,000 ANTIDOTE TO XENOPHOBIA AS WELL. 1661 01:00:19,000 --> 01:00:21,520 THAT MATTERS FOR ASIAN, NATIVE 1662 01:00:21,520 --> 01:00:22,480 HAWAIIAN AND PACIFIC ISLANDER 1663 01:00:22,480 --> 01:00:22,800 COMMUNITIES. 1664 01:00:22,800 --> 01:00:24,920 THE LAST NOTE I WILL END ON IS 1665 01:00:24,920 --> 01:00:26,400 THESE ARE URGENT PROBLEMS WE ARE 1666 01:00:26,400 --> 01:00:29,280 CALLING ATTENTION TO. 1667 01:00:29,280 --> 01:00:31,440 BUT WE CAN JUST AS WE LOOK BACK 1668 01:00:31,440 --> 01:00:33,400 TO HISTORY TO UNDERSTAND THE 1669 01:00:33,400 --> 01:00:35,720 ROOTS OF THOSE PROBLEMS, WE CAN 1670 01:00:35,720 --> 01:00:37,640 ALSO DERIVE INSPIRATION FROM 1671 01:00:37,640 --> 01:00:38,040 HISTORY. 1672 01:00:38,040 --> 01:00:40,960 I THINK ABOUT THE FACT THAT A 1673 01:00:40,960 --> 01:00:43,520 CENTURY AGO THE SUPREME COURT 1674 01:00:43,520 --> 01:00:50,800 RULED IN THE U.S. VS. SINGH CASE 1675 01:00:50,800 --> 01:00:53,560 THAT INDIANS WERE INELIGIBLE FOR 1676 01:00:53,560 --> 01:00:54,960 NATURALIZED CITIZENSHIP BECAUSE 1677 01:00:54,960 --> 01:00:56,600 THEY ARE NOT CONSIDERED WHITE. 1678 01:00:56,600 --> 01:00:58,960 HALF A CENTURY LATER MY FATHER 1679 01:00:58,960 --> 01:01:00,760 IMMIGRATED TO THIS COUNTRY AND 1680 01:01:00,760 --> 01:01:02,320 BECAME A NATURALIZED CITIZEN AND 1681 01:01:02,320 --> 01:01:04,880 HALF A CENTURY AFTER THAT, HIS 1682 01:01:04,880 --> 01:01:07,280 SON BECAME THE FIRST NEW YORK 1683 01:01:07,280 --> 01:01:11,040 CITY HEALTH COMMISSIONER OF 1684 01:01:11,040 --> 01:01:16,440 ASIAN DESCENT AND HAD THE CHANCE 1685 01:01:16,440 --> 01:01:20,160 TO WORK WITH THE FIRST INDIAN 1686 01:01:20,160 --> 01:01:21,680 SURGEON GENERAL IN A PANDEMIC. 1687 01:01:21,680 --> 01:01:24,120 IT IS NOT ABOUT VIVEK AND ME, 1688 01:01:24,120 --> 01:01:27,520 BUT THE FACT THAT PROGRESS IS 1689 01:01:27,520 --> 01:01:30,080 POSSIBLE, BUT IT REQUIRES 1690 01:01:30,080 --> 01:01:32,280 CONTENDING WITH THESE 1691 01:01:32,280 --> 01:01:33,600 DEEP-ROOTED ISSUE, UNEARTHING 1692 01:01:33,600 --> 01:01:36,240 THEM, NAMING THE TRAUMA THAT 1693 01:01:36,240 --> 01:01:38,440 UNDERLIES THEM AND TAKING THE 1694 01:01:38,440 --> 01:01:40,600 SMALL STEPS WE HAVE TALKED ABOUT 1695 01:01:40,600 --> 01:01:41,680 TODAY. 1696 01:01:41,680 --> 01:01:42,400 >> WOW. 1697 01:01:42,400 --> 01:01:42,760 I'M SORRY. 1698 01:01:42,760 --> 01:01:44,400 WE ARE AT TIME. 1699 01:01:44,400 --> 01:01:45,720 YOU ARE BOTH SUCH INSPIRING 1700 01:01:45,720 --> 01:01:47,120 PEOPLE AND WE COULD HAVE 1701 01:01:47,120 --> 01:01:48,160 CONTINUED TO TALK. 1702 01:01:48,160 --> 01:01:50,880 I WILL JUST TURN IT OVER TO DR. 1703 01:01:50,880 --> 01:01:52,840 MURTHY IF YOU WANT TO WRAP THIS 1704 01:01:52,840 --> 01:01:55,800 UP FOR US AND THEN WE CAN CLOSE. 1705 01:01:55,800 --> 01:01:57,320 >> SURE. 1706 01:01:57,320 --> 01:01:58,320 WELL, LISTEN, THANK YOU EVERYONE 1707 01:01:58,320 --> 01:02:00,440 FOR JOINING US TODAY. 1708 01:02:00,440 --> 01:02:01,640 MONICA, THANK YOU SO MUCH FOR 1709 01:02:01,640 --> 01:02:02,600 MODERATING THIS CONVERSATION. 1710 01:02:02,600 --> 01:02:05,200 TO EVERYONE WHO HELPED PUT IT 1711 01:02:05,200 --> 01:02:05,440 TOGETHER. 1712 01:02:05,440 --> 01:02:09,000 AND I WANT TO ESPECIALLY THANK 1713 01:02:09,000 --> 01:02:10,200 DAVE FOR BEING OUR DISTINGUISHED 1714 01:02:10,200 --> 01:02:10,800 GUEST TODAY. 1715 01:02:10,800 --> 01:02:14,080 IT IS HARD TO PUT INTO A FEW 1716 01:02:14,080 --> 01:02:15,240 WORDS JUST HOW MUCH DAVE HAS 1717 01:02:15,240 --> 01:02:18,000 MEANT TO ME AS A FRIEND, BUT 1718 01:02:18,000 --> 01:02:19,920 ALSO TO PUT INTO WORDS WHAT HIS 1719 01:02:19,920 --> 01:02:21,800 CONTRIBUTION HAS BEEN TO 1720 01:02:21,800 --> 01:02:22,240 SOCIETY. 1721 01:02:22,240 --> 01:02:23,880 A CONTRIBUTION THAT FAR PRECEDED 1722 01:02:23,880 --> 01:02:26,080 HIS STUDY OF MEDICINE THAT 1723 01:02:26,080 --> 01:02:28,040 REALLY BEGAN FROM THE EARLIEST 1724 01:02:28,040 --> 01:02:31,040 OF AGES: I THINK IN HIS STORY 1725 01:02:31,040 --> 01:02:32,440 AND HOPEFULLY WHAT YOU HAVE 1726 01:02:32,440 --> 01:02:34,160 HEARD TODAY YOU SEE THE KERNELS 1727 01:02:34,160 --> 01:02:36,680 OF WHAT WE NEED TO DO AS A 1728 01:02:36,680 --> 01:02:38,520 SOCIETY, CREATE A SENSE OF 1729 01:02:38,520 --> 01:02:40,120 BELONGING, RECONNECT PEOPLE WITH 1730 01:02:40,120 --> 01:02:41,840 ONE ANOTHER, APPROACH OUR WORK 1731 01:02:41,840 --> 01:02:43,600 AS LEADERS WITH INTEGRITY, 1732 01:02:43,600 --> 01:02:44,720 ASKING OURSELVES HOW WE CAN 1733 01:02:44,720 --> 01:02:47,400 MERIT AND DESERVE THE TRUST THAT 1734 01:02:47,400 --> 01:02:49,600 WE NEED TO INSTILL IN SOCIETIES. 1735 01:02:49,600 --> 01:02:53,200 AND ALSO ASKING THE QUESTION OF 1736 01:02:53,200 --> 01:02:55,600 HOW WE CAN BE BETTER PREPARED 1737 01:02:55,600 --> 01:02:57,080 FOR WHAT IS TO COME. 1738 01:02:57,080 --> 01:02:59,560 WE ARE CONSTANTLY EVOLVING. 1739 01:02:59,560 --> 01:03:01,760 THERE WILL BE ANOTHER PANDEMIC, 1740 01:03:01,760 --> 01:03:02,480 ANOTHER PUBLIC HEALTH CHALLENGE. 1741 01:03:02,480 --> 01:03:05,480 WE HAVE TO THINK AHEAD OF WHAT 1742 01:03:05,480 --> 01:03:07,200 IS TO COME AND PREPARE FOR THAT. 1743 01:03:07,200 --> 01:03:09,400 THAT IS THE IMPORTANT WORK OF 1744 01:03:09,400 --> 01:03:09,680 LEADERSHIP. 1745 01:03:09,680 --> 01:03:11,000 I'M GRATEFUL FOR EVERYTHING YOU 1746 01:03:11,000 --> 01:03:13,560 DO, DAVE, FOR INSPIRING ME AND I 1747 01:03:13,560 --> 01:03:16,200 KNOW SO MANY OTHERS. 1748 01:03:16,200 --> 01:03:20,000 PLEASE THANK MAYLA FOR THAT 1749 01:03:20,000 --> 01:03:21,000 ADVICE, DAVE'S WIFE. 1750 01:03:21,000 --> 01:03:22,600 IT IS NEVER THE KIDS, IT IS 1751 01:03:22,600 --> 01:03:24,000 USUALLY THE ADULTS. 1752 01:03:24,000 --> 01:03:27,440 ESPECIALLY IN THE MIDST OF A 1753 01:03:27,440 --> 01:03:28,720 YOUTH MENTAL HEALTH CRISIS IT IS 1754 01:03:28,720 --> 01:03:30,800 A CALL TO AX FOR ALL ADULTS TO 1755 01:03:30,800 --> 01:03:33,800 DO MORE AND ULTIMATELY DO RIGHT 1756 01:03:33,800 --> 01:03:34,480 BY OUR CHILDREN. 1757 01:03:34,480 --> 01:03:36,440 THANK YOU, DAVE, FOR BEING WITH 1758 01:03:36,440 --> 01:03:36,720 US TODAY 1759 01:03:36,720 --> 01:03:37,440 >> SUCH AN HONOR. 1760 01:03:37,440 --> 01:03:38,840 >> IT IS ON US. 1761 01:03:38,840 --> 01:03:40,440 THANKS TO EVERYONE WATCHING. 1762 01:03:40,440 --> 01:03:41,360 APPRECIATE YOU JOINING TODAY AND 1763 01:03:41,360 --> 01:03:52,240 WE WISH YOU ALL THE BEST.