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Youth Are More Stressed Than Ever:  “Well-Being Infrastructure” Can Help
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Photo by Matthew Ball on Unsplash

Youth Are More Stressed Than Ever: “Well-Being Infrastructure” Can Help

In May, the JAMA Network released a study showing that doctor visits for children’s anxiety rose by more than 250 percent over 10 years. If we only respond with more clinical visits and prescriptions, we miss the chance to invest in the everyday conditions that help prevent anxiety in the first place—unstructured social time, accessible extracurriculars, walkable neighborhoods, and teen-friendly public spaces—the “wellbeing infrastructure” we should fund in proportion to the benefits it provides.

Good health and well-being–both mental and physical–do not happen by accident. They do not happen only by stepping in when a young person is in a major mental health emergency (although such services are essential). For youth to truly flourish, we need to focus on conditions that lead to thriving mental health and a commitment to building youth wellbeing infrastructure: the physical environments, social systems, and policies that promote long-term physical, mental, and emotional health.

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When the Connection Frays: Systems, Stroke, and Institutional Fragility
a stethoscope and a heart on a table

When the Connection Frays: Systems, Stroke, and Institutional Fragility

Three months ago, I had a stroke. Minor, as strokes go—my cognition is intact, my body largely functional. But something has changed in the wiring, and what I am observing in my own recovery has reframed how I think about institutional fragility and why complex systems fail where we least expect them to.

The Word I Cannot Find

Here is what a minor stroke actually feels like from the inside.

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High-Deductible Health Plans Are Being Sold as a Cure. They Aren’t.
a pile of pills and money sitting on top of a table

High-Deductible Health Plans Are Being Sold as a Cure. They Aren’t.

Recently, during rounds, I met a patient who almost missed her own heart attack. She'd had chest pain for hours before she finally came in. Clinicians know what those hours cost. When asked why she had waited, her answer made my own heart sink. She had a high-deductible health plan — an HDHP — which meant she would owe thousands of dollars before her insurance paid a single cent.

"It's like I don't even have insurance," she told me from her hospital bed, asking when someone from financial assistance would be able to speak to her.

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Cathy Alderman: Housing Is Healthcare

Cathy Alderman

Cathy Alderman: Housing Is Healthcare

The Colorado Coalition for the Homeless (CCH) is working to address the lack of long-term affordable and supportive housing, which they identify as the only lasting solution to homelessness. Cathy Alderman, the organization’s Chief Communications and Public Policy Officer, emphasizes that the primary challenge is the "high cost not just of housing, but the cost of living" in Colorado, which creates a significant barrier for people trying to access stable housing or find rentals they can afford.

To address these challenges, the Coalition operates under the fundamental belief that "housing is healthcare". "We want to provide access to affordable housing and affordable health care so that people can be successful in the other areas of their life," Alderman said. As both a housing developer and a federally qualified health center, CCH manages approximately 2,000 units across 23 residential properties while providing integrated health services through clinics and street medicine teams.

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