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Excellent analysis (and prescription) by Sandro Galea. I can remember when some of the California radicals voted for Reagan for governor, because, of course, it was obvious that California under Reagan would collapse. The Revolution was expected for the 1970s. Never happened. What happened was Reagan in Sacramento, followed by Reagan in the White House, and, nowadays, we've moved along to Donald Trump. We need radicals who are a lot more sophisticated and hardworking than some of the postmodern "radicals" who appeared in the last century Key points: Many of the big battles for the 21st century will involve public health. Different people, in different places, want to have more control over their bodies. Individuals want to live in communities that are healthy and safe. Performance artists have (literally) been howling at heaven because of climate change. Move beyond that stuff. Sandro Galea points public health advocates in the right direction.

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Today is January 20th. Much of North America is caught in extreme cold and journalists report that at least fifty people in the United States have died because of the cold. Public health advocates know that the real number is much higher, and, as the saying goes, "Hypothermia can be prevented." In this reality keep asking, "What's the right thing for health advocates to do?" Yes, there's a need for

Congress to develop better programs for energy assistance, housing, and healthcare, and we can wait for that to happen. Maybe the Revolution will happen next year. For the moment, try to be useful in responding to today's crisis. Organize, organize, organize.

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