so when I was growing up I was always exploring from just about the time I
exploring from just about the time I
exploring from just about the time I could walk whenever I go over to my
could walk whenever I go over to my
could walk whenever I go over to my grandparents house I would sneak out and
grandparents house I would sneak out and
grandparents house I would sneak out and climb this radio antenna you get some of
climb this radio antenna you get some of
climb this radio antenna you get some of you may know what that is radio antenna
you may know what that is radio antenna
you may know what that is radio antenna up the side of the house and get onto
up the side of the house and get onto
up the side of the house and get onto the roof even though I knew I would get
the roof even though I knew I would get
the roof even though I knew I would get into trouble and let’s just say the fire
into trouble and let’s just say the fire
into trouble and let’s just say the fire department may have been called on one
department may have been called on one
department may have been called on one occasion other times I would take apart
occasion other times I would take apart
occasion other times I would take apart my toys new or old just to see how
my toys new or old just to see how
my toys new or old just to see how they’d work or to reconstruct them as
they’d work or to reconstruct them as
they’d work or to reconstruct them as something else well I’m sure my parents
something else well I’m sure my parents
something else well I’m sure my parents thought of it as me being mischievous I
thought of it as me being mischievous I
thought of it as me being mischievous I now think of it as creative disruption I
now think of it as creative disruption I
now think of it as creative disruption I enjoy how even a small shift in
enjoy how even a small shift in
enjoy how even a small shift in perspective can open up new
perspective can open up new
perspective can open up new possibilities now as an architect and
possibilities now as an architect and
possibilities now as an architect and strategic thinker my career’s largely
strategic thinker my career’s largely
strategic thinker my career’s largely devoted to doing just that by creating
devoted to doing just that by creating
devoted to doing just that by creating buildings and places that help improve
buildings and places that help improve
buildings and places that help improve the well-being of others a career
the well-being of others a career
the well-being of others a career focused on design which challenges me to
focused on design which challenges me to
focused on design which challenges me to see things from multiple perspectives on
see things from multiple perspectives on
see things from multiple perspectives on the issues that we face so today at a
the issues that we face so today at a
the issues that we face so today at a time when we’re increasingly socially
time when we’re increasingly socially
time when we’re increasingly socially divisive in tempted to isolate ourselves
divisive in tempted to isolate ourselves
divisive in tempted to isolate ourselves I want to talk with you about the
I want to talk with you about the
I want to talk with you about the impacts on your health the importance of
impacts on your health the importance of
impacts on your health the importance of community and the role of design in
community and the role of design in
community and the role of design in addressing these challenges I want to
addressing these challenges I want to
addressing these challenges I want to shift your perspective in the United
shift your perspective in the United
shift your perspective in the United States today we spend more annually on
States today we spend more annually on
States today we spend more annually on health care than any other country in
health care than any other country in
health care than any other country in the world and yet we rank last by almost
the world and yet we rank last by almost
the world and yet we rank last by almost any measure
any measure
any measure we’re 39th in infant mortality 36 and
we’re 39th in infant mortality 36 and
we’re 39th in infant mortality 36 and life expectancy just to name two when
life expectancy just to name two when
life expectancy just to name two when you look at the headlines much of our
you look at the headlines much of our
you look at the headlines much of our time and attention is focused on health
time and attention is focused on health
time and attention is focused on health care and its rising cost now clearly
care and its rising cost now clearly
care and its rising cost now clearly this is an issue that can and must be
this is an issue that can and must be
this is an issue that can and must be addressed but what if I told you we
addressed but what if I told you we
addressed but what if I told you we might be looking at the problem from the
might be looking at the problem from the
might be looking at the problem from the wrong perspective what if I told you
wrong perspective what if I told you
wrong perspective what if I told you that just 20% of our health and
that just 20% of our health and
that just 20% of our health and well-being is attributed to your quality
well-being is attributed to your quality
well-being is attributed to your quality and access of health care
and access of health care
and access of health care research shows that 80% 80% of your
research shows that 80% 80% of your
research shows that 80% 80% of your health and well-being is directly
health and well-being is directly
health and well-being is directly attributed to social economic
attributed to social economic
attributed to social economic environmental and behavioral factors
environmental and behavioral factors
environmental and behavioral factors factors which trigger sharp rises and
factors which trigger sharp rises and
factors which trigger sharp rises and chronic diseases like obesity and
chronic diseases like obesity and
chronic diseases like obesity and diabetes factors which relate both
diabetes factors which relate both
diabetes factors which relate both directly and indirectly to how and where
directly and indirectly to how and where
directly and indirectly to how and where we live your life expectancy is
we live your life expectancy is
we live your life expectancy is dependent on your zip code a 2013 Robert
dependent on your zip code a 2013 Robert
dependent on your zip code a 2013 Robert Wood Johnson Foundation study found that
Wood Johnson Foundation study found that
Wood Johnson Foundation study found that has fused two train stops in the same
has fused two train stops in the same
has fused two train stops in the same city can mean a seven-year difference in
city can mean a seven-year difference in
city can mean a seven-year difference in life expectancy 13 years in some
life expectancy 13 years in some
life expectancy 13 years in some locations
locations
locations now before you pack your bags you should
now before you pack your bags you should
now before you pack your bags you should know this is true of Detroit Dallas DC
know this is true of Detroit Dallas DC
know this is true of Detroit Dallas DC El Paso pretty much most places why
El Paso pretty much most places why
El Paso pretty much most places why because where we live impacts how we
because where we live impacts how we
because where we live impacts how we live I want to share a story that
live I want to share a story that
live I want to share a story that illustrates this in the 1960s there’s a
illustrates this in the 1960s there’s a
illustrates this in the 1960s there’s a small rural town in eastern Pennsylvania
small rural town in eastern Pennsylvania
small rural town in eastern Pennsylvania called Roseto
called Roseto
called Roseto Rosetta was an Italian immigrant
Rosetta was an Italian immigrant
Rosetta was an Italian immigrant community named after a town in Italy
community named after a town in Italy
community named after a town in Italy that featured closely spaced houses and
that featured closely spaced houses and
that featured closely spaced houses and walkable streets at zero crime rate zero
walkable streets at zero crime rate zero
walkable streets at zero crime rate zero suicides and a heart disease rate that
suicides and a heart disease rate that
suicides and a heart disease rate that was nearly half that of the national
was nearly half that of the national
was nearly half that of the national average as well as neighboring towns
average as well as neighboring towns
average as well as neighboring towns they’d have a single death under the age
they’d have a single death under the age
they’d have a single death under the age of 45 due to heart disease men were
of 45 due to heart disease men were
of 45 due to heart disease men were living so much longer that there were
living so much longer that there were
living so much longer that there were more widowers than widows what was truly
more widowers than widows what was truly
more widowers than widows what was truly remarkable is that they worked in stone
remarkable is that they worked in stone
remarkable is that they worked in stone mines ate fried foods drank wine in
mines ate fried foods drank wine in
mines ate fried foods drank wine in abundance and smoked habitually they did
abundance and smoked habitually they did
abundance and smoked habitually they did pretty much all the things that health
pretty much all the things that health
pretty much all the things that health professionals warned against and yet
professionals warned against and yet
professionals warned against and yet they lived longer why researchers
they lived longer why researchers
they lived longer why researchers studied the town pored over death
studied the town pored over death
studied the town pored over death records and what they found is that they
records and what they found is that they
records and what they found is that they live longer because they were less
live longer because they were less
live longer because they were less stressed they were less stressed because
stressed they were less stressed because
stressed they were less stressed because they looked out for one another in a
they looked out for one another in a
they looked out for one another in a close-knit community if one family was
close-knit community if one family was
close-knit community if one family was sick others pitched in families would
sick others pitched in families would
sick others pitched in families would cook meals together town elders would
cook meals together town elders would
cook meals together town elders would help take care of the kids imagine a
help take care of the kids imagine a
help take care of the kids imagine a town where weddings was spread out from
town where weddings was spread out from
town where weddings was spread out from the church into the neighborhood streets
the church into the neighborhood streets
the church into the neighborhood streets there wasn’t a social hierarchy there
there wasn’t a social hierarchy there
there wasn’t a social hierarchy there wasn’t this keeping up with the Joneses
wasn’t this keeping up with the Joneses
wasn’t this keeping up with the Joneses mentality
mentality
mentality in short they shed stress in a very
in short they shed stress in a very
in short they shed stress in a very healthy way interdependently together
healthy way interdependently together
healthy way interdependently together and drink as much as they wanted however
and drink as much as they wanted however
and drink as much as they wanted however researchers also made a prediction that
researchers also made a prediction that
researchers also made a prediction that within a generation as suburbs expanded
within a generation as suburbs expanded
within a generation as suburbs expanded houses grew fences popped up that social
houses grew fences popped up that social
houses grew fences popped up that social economic isolationism would set in and
economic isolationism would set in and
economic isolationism would set in and change this the community would divide
change this the community would divide
change this the community would divide stress would rise and health would
stress would rise and health would
stress would rise and health would decline so they went back in the 1990s
decline so they went back in the 1990s
decline so they went back in the 1990s thirty years later study the town again
thirty years later study the town again
thirty years later study the town again and found this to be true today risotto
and found this to be true today risotto
and found this to be true today risotto has the same heart disease rate as
has the same heart disease rate as
has the same heart disease rate as anywhere in the United States where we
anywhere in the United States where we
anywhere in the United States where we live impacts how we live unfortunately
live impacts how we live unfortunately
live impacts how we live unfortunately today our lifestyles totally geared
today our lifestyles totally geared
today our lifestyles totally geared around cars we drive more and walk less
around cars we drive more and walk less
around cars we drive more and walk less children walk or ride a bike to school
children walk or ride a bike to school
children walk or ride a bike to school fifty percent less than they did just
fifty percent less than they did just
fifty percent less than they did just thirty years ago that’s a drop from
thirty years ago that’s a drop from
thirty years ago that’s a drop from sixty percent to just ten percent
sixty percent to just ten percent
sixty percent to just ten percent many of us live in food deserts where
many of us live in food deserts where
many of us live in food deserts where fresh produce is non-existent and fast
fresh produce is non-existent and fast
fresh produce is non-existent and fast food is most convenient over the last
food is most convenient over the last
food is most convenient over the last sixty years we have slowly and
sixty years we have slowly and
sixty years we have slowly and methodically replaced walkable
methodically replaced walkable
methodically replaced walkable neighborhoods walkable communities with
neighborhoods walkable communities with
neighborhoods walkable communities with car oriented suburbs that not only limit
car oriented suburbs that not only limit
car oriented suburbs that not only limit healthy behavior but may then discourage
healthy behavior but may then discourage
healthy behavior but may then discourage it our stress has never been higher now
it our stress has never been higher now
it our stress has never been higher now there is good news the good news is that
there is good news the good news is that
there is good news the good news is that our physical environment where we live
our physical environment where we live
our physical environment where we live work play and heal does account for much
work play and heal does account for much
work play and heal does account for much of our health that we can control so the
of our health that we can control so the
of our health that we can control so the solution doesn’t rest alone in improving
solution doesn’t rest alone in improving
solution doesn’t rest alone in improving the delivery of health care it rests in
the delivery of health care it rests in
the delivery of health care it rests in delivering healthier communities imagine
delivering healthier communities imagine
delivering healthier communities imagine if we could take even a small amount of
if we could take even a small amount of
if we could take even a small amount of the effort underway with health care
the effort underway with health care
the effort underway with health care reform and reinvest that into how and
reform and reinvest that into how and
reform and reinvest that into how and where we live and what if we could do
where we live and what if we could do
where we live and what if we could do that through design think about it in my
that through design think about it in my
that through design think about it in my profession as an architect today we
profession as an architect today we
profession as an architect today we design green buildings to be resource
design green buildings to be resource
design green buildings to be resource and energy efficient to do less harm to
and energy efficient to do less harm to
and energy efficient to do less harm to an effect be less bad but what if
an effect be less bad but what if
an effect be less bad but what if tomorrow we design buildings in places
tomorrow we design buildings in places
tomorrow we design buildings in places that actually promote and encourage
that actually promote and encourage
that actually promote and encourage health and well-being this is where the
health and well-being this is where the
health and well-being this is where the opportunity lies so that where we live
opportunity lies so that where we live
opportunity lies so that where we live impacts how we live in a positive way
impacts how we live in a positive way
impacts how we live in a positive way not only is this happening but is
not only is this happening but is
not only is this happening but is happening in a place with limited
happening in a place with limited
happening in a place with limited resources little skilled labor and
resources little skilled labor and
resources little skilled labor and virtually no infrastructure Ketchum Bala
virtually no infrastructure Ketchum Bala
virtually no infrastructure Ketchum Bala agonda is a village in eastern Africa
agonda is a village in eastern Africa
agonda is a village in eastern Africa rich in tradition and culture this is
rich in tradition and culture this is
rich in tradition and culture this is evident through their celebrations where
evident through their celebrations where
evident through their celebrations where men women and children dress at vibrant
men women and children dress at vibrant
men women and children dress at vibrant clothing and celebrate together however
clothing and celebrate together however
clothing and celebrate together however it’s also one of the country’s most
it’s also one of the country’s most
it’s also one of the country’s most impoverished two dollars a day
impoverished two dollars a day
impoverished two dollars a day is the average Admiral annual income
is the average Admiral annual income
is the average Admiral annual income life expectancies 15 years below global
life expectancies 15 years below global
life expectancies 15 years below global average at 56 years infant mortalities
average at 56 years infant mortalities
average at 56 years infant mortalities double the global average with one in 26
double the global average with one in 26
double the global average with one in 26 newborns dying before their first
newborns dying before their first
newborns dying before their first birthday now some of this is due to a
birthday now some of this is due to a
birthday now some of this is due to a need for better medical facilities but
need for better medical facilities but
need for better medical facilities but much of it is due to community
much of it is due to community
much of it is due to community infrastructure and resources women would
infrastructure and resources women would
infrastructure and resources women would be turned away from the birthing center
be turned away from the birthing center
be turned away from the birthing center due to capacity issues some after
due to capacity issues some after
due to capacity issues some after travelling long distances on the back of
travelling long distances on the back of
travelling long distances on the back of a motorbike while already in labor many
a motorbike while already in labor many
a motorbike while already in labor many wouldn’t make the trip often the result
wouldn’t make the trip often the result
wouldn’t make the trip often the result is women giving birth at home without
is women giving birth at home without
is women giving birth at home without assistance or sterile equipment clearly
assistance or sterile equipment clearly
assistance or sterile equipment clearly new facilities were needed but in a way
new facilities were needed but in a way
new facilities were needed but in a way that would work for and be embraced by
that would work for and be embraced by
that would work for and be embraced by the community this is not something that
the community this is not something that
the community this is not something that could be dropped in from afar by
could be dropped in from afar by
could be dropped in from afar by Outsiders that assume they know it’s
Outsiders that assume they know it’s
Outsiders that assume they know it’s best to be successful the design had to
best to be successful the design had to
best to be successful the design had to be in collaboration with the community
be in collaboration with the community
be in collaboration with the community the real solution had to come from
the real solution had to come from
the real solution had to come from within ultimately the way it was built
within ultimately the way it was built
within ultimately the way it was built and who built it had to be adapted with
and who built it had to be adapted with
and who built it had to be adapted with a lack of reliable infrastructure such
a lack of reliable infrastructure such
a lack of reliable infrastructure such as power and water and a scarcity of
as power and water and a scarcity of
as power and water and a scarcity of materials sustainability what an option
materials sustainability what an option
materials sustainability what an option it was absolute to help with
it was absolute to help with
it was absolute to help with unemployment and to improve skilled
unemployment and to improve skilled
unemployment and to improve skilled trades 40 community workers were trained
trades 40 community workers were trained
trades 40 community workers were trained in regional construction techniques such
in regional construction techniques such
in regional construction techniques such as making mud bricks by hand techniques
as making mud bricks by hand techniques
as making mud bricks by hand techniques they can now carry to other jobs and
they can now carry to other jobs and
they can now carry to other jobs and other services
other services
other services however training wasn’t just limited to
however training wasn’t just limited to
however training wasn’t just limited to construction workers as one example I
construction workers as one example I
construction workers as one example I want you to meet Julianne
want you to meet Julianne
want you to meet Julianne Julianne was trained by a midwife during
Julianne was trained by a midwife during
Julianne was trained by a midwife during the construction of the project and how
the construction of the project and how
the construction of the project and how to deliver premature babies in just a
to deliver premature babies in just a
to deliver premature babies in just a few short months Julianne has helped
few short months Julianne has helped
few short months Julianne has helped deliver several premature babies that
deliver several premature babies that
deliver several premature babies that otherwise would not have survived
otherwise would not have survived
otherwise would not have survived now Julianne in her village illustrate
now Julianne in her village illustrate
now Julianne in her village illustrate how a single project it positively
how a single project it positively
how a single project it positively impact the trajectory of a community
impact the trajectory of a community
impact the trajectory of a community starting with expecting mothers but
starting with expecting mothers but
starting with expecting mothers but extending to other families and now
extending to other families and now
extending to other families and now skilled workers who can afford an
skilled workers who can afford an
skilled workers who can afford an education for their kids they didn’t
education for their kids they didn’t
education for their kids they didn’t just build a building they used design
just build a building they used design
just build a building they used design to help shape the health of their
to help shape the health of their
to help shape the health of their community now for an example closer to
community now for an example closer to
community now for an example closer to home there’s the urban food studio in
home there’s the urban food studio in
home there’s the urban food studio in Washington DC the capillary Food Bank
Washington DC the capillary Food Bank
Washington DC the capillary Food Bank provides leadership training education
provides leadership training education
provides leadership training education and food to over 400 partner agencies
and food to over 400 partner agencies
and food to over 400 partner agencies such as churches schools synagogues
such as churches schools synagogues
such as churches schools synagogues things like that 16 percent of the DC
things like that 16 percent of the DC
things like that 16 percent of the DC population struggles with access to food
population struggles with access to food
population struggles with access to food access to food is actually a root
access to food is actually a root
access to food is actually a root determinant for many of the hospital’s
determinant for many of the hospital’s
determinant for many of the hospital’s super-users the capillary Food Bank
super-users the capillary Food Bank
super-users the capillary Food Bank realized that improving access to food
realized that improving access to food
realized that improving access to food had to be about more than just giving
had to be about more than just giving
had to be about more than just giving out meals so they launched a
out meals so they launched a
out meals so they launched a demonstration garden for nutrition
demonstration garden for nutrition
demonstration garden for nutrition education and gardening basics due to
education and gardening basics due to
education and gardening basics due to its success they did engage volunteers
its success they did engage volunteers
its success they did engage volunteers to expand and enhance the capabilities
to expand and enhance the capabilities
to expand and enhance the capabilities of this garden the result is a
of this garden the result is a
of this garden the result is a multi-purpose garden in urban food
multi-purpose garden in urban food
multi-purpose garden in urban food studio it provides all season access to
studio it provides all season access to
studio it provides all season access to cooking workshops classes and other
cooking workshops classes and other
cooking workshops classes and other educational events reflecting their
educational events reflecting their
educational events reflecting their values to be environmentally friendly
values to be environmentally friendly
values to be environmentally friendly the structure itself demonstrates
the structure itself demonstrates
the structure itself demonstrates sustainable ecosystems such as rainwater
sustainable ecosystems such as rainwater
sustainable ecosystems such as rainwater collection and solar harvesting the
collection and solar harvesting the
collection and solar harvesting the studio teaches individuals and families
studio teaches individuals and families
studio teaches individuals and families that whether you have a backyard or
that whether you have a backyard or
that whether you have a backyard or balcony you can learn how to grow food
balcony you can learn how to grow food
balcony you can learn how to grow food and how to stretch your food budgets
and how to stretch your food budgets
and how to stretch your food budgets farther the result is a place that
farther the result is a place that
farther the result is a place that empowers healthy choices while improving
empowers healthy choices while improving
empowers healthy choices while improving access to food
in both cases Ketchum Bala and EC he
in both cases Ketchum Bala and EC he started through the efforts of a single
started through the efforts of a single
started through the efforts of a single individual with Ketcham ball it was
individual with Ketcham ball it was
individual with Ketcham ball it was somebody in the area that sat with
somebody in the area that sat with
somebody in the area that sat with village elders to understand what was
village elders to understand what was
village elders to understand what was their most pressing need with the food
their most pressing need with the food
their most pressing need with the food bank it was an individual passion about
bank it was an individual passion about
bank it was an individual passion about sustainable design she found out they
sustainable design she found out they
sustainable design she found out they need expanded facilities and then
need expanded facilities and then
need expanded facilities and then leveraged her network to bring it to
leveraged her network to bring it to
leveraged her network to bring it to life in both cases they didn’t just
life in both cases they didn’t just
life in both cases they didn’t just donate their time they used Design
donate their time they used Design
donate their time they used Design Thinking to help make it happen so when
Thinking to help make it happen so when
Thinking to help make it happen so when we talk about design thinking what are
we talk about design thinking what are
we talk about design thinking what are we talking about we’re talking about an
we talking about we’re talking about an
we talking about we’re talking about an iterative method for practical creative
iterative method for practical creative
iterative method for practical creative problem-solving the type of thinking
problem-solving the type of thinking
problem-solving the type of thinking that brings together social cultural
that brings together social cultural
that brings together social cultural environmental variables into solutions
environmental variables into solutions
environmental variables into solutions that can help communities thrive but the
that can help communities thrive but the
that can help communities thrive but the real impact to design thinking is in the
real impact to design thinking is in the
real impact to design thinking is in the ripple effect like a pebble in a pond
ripple effect like a pebble in a pond
ripple effect like a pebble in a pond design thinking isn’t just about the
design thinking isn’t just about the
design thinking isn’t just about the initial concern but is about the ripples
initial concern but is about the ripples
initial concern but is about the ripples that is the impact you can have beyond
that is the impact you can have beyond
that is the impact you can have beyond the initial idea of being considered
the initial idea of being considered
the initial idea of being considered with Ketcham Bala the ripple effect of
with Ketcham Bala the ripple effect of
with Ketcham Bala the ripple effect of building new birthing suites was
building new birthing suites was
building new birthing suites was enhancing skilled labor and improving
enhancing skilled labor and improving
enhancing skilled labor and improving sustainability with the food bank the
sustainability with the food bank the
sustainability with the food bank the ripple effect was about improving access
ripple effect was about improving access
ripple effect was about improving access to food where we live impacts how we
to food where we live impacts how we
to food where we live impacts how we live rural urban or anywhere in between
live rural urban or anywhere in between
live rural urban or anywhere in between we can and must come together as a
we can and must come together as a
we can and must come together as a community to improve our health my
community to improve our health my
community to improve our health my passion if you haven’t guessed by now is
passion if you haven’t guessed by now is
passion if you haven’t guessed by now is design in my practice with HKS we do
design in my practice with HKS we do
design in my practice with HKS we do this by thinking beyond the property
this by thinking beyond the property
this by thinking beyond the property lines of our clients on how buildings
lines of our clients on how buildings
lines of our clients on how buildings impact neighborhoods how neighborhoods
impact neighborhoods how neighborhoods
impact neighborhoods how neighborhoods shaped place and how place influences
shaped place and how place influences
shaped place and how place influences behavior personally I first committed to
behavior personally I first committed to
behavior personally I first committed to doing this about 10 years ago through
doing this about 10 years ago through
doing this about 10 years ago through the creation of a design fellowship
the creation of a design fellowship
the creation of a design fellowship within our firm that paired designers
within our firm that paired designers
within our firm that paired designers with architectural students to work on a
with architectural students to work on a
with architectural students to work on a community need out of a single event it
community need out of a single event it
community need out of a single event it has grown to cover over five cities and
has grown to cover over five cities and
has grown to cover over five cities and twenty needs needs that have ranged from
twenty needs needs that have ranged from
twenty needs needs that have ranged from affordable housing in DC to improving
affordable housing in DC to improving
affordable housing in DC to improving connectivity and walkability in Dallas
connectivity and walkability in Dallas
connectivity and walkability in Dallas from
from
from it’s about shifting our perspective on
it’s about shifting our perspective on
it’s about shifting our perspective on what truly impacts our health for using
what truly impacts our health for using
what truly impacts our health for using design in the built environment to
design in the built environment to
design in the built environment to influence healthy behavior fundamentally
influence healthy behavior fundamentally
influence healthy behavior fundamentally for shaping places that encourage kids
for shaping places that encourage kids
for shaping places that encourage kids and parents to walk or ride their bikes
and parents to walk or ride their bikes
and parents to walk or ride their bikes where we live impacts how we live but
where we live impacts how we live but
where we live impacts how we live but how we live is a choice so what if we
how we live is a choice so what if we
how we live is a choice so what if we all were to use design thinking to
all were to use design thinking to
all were to use design thinking to impact the health of our communities
impact the health of our communities
impact the health of our communities what impacts would we have what
what impacts would we have what
what impacts would we have what communities would we create the best
communities would we create the best
communities would we create the best part is you don’t need to be an
part is you don’t need to be an
part is you don’t need to be an architect a designer or health
architect a designer or health
architect a designer or health professional to be a catalyst for change
professional to be a catalyst for change
professional to be a catalyst for change design is a way of thinking and
design is a way of thinking and
design is a way of thinking and problem-solving is in each of us a
problem-solving is in each of us a
problem-solving is in each of us a single person with a passion to care you
single person with a passion to care you
single person with a passion to care you can have a ripple effect of their own
can have a ripple effect of their own
can have a ripple effect of their own with a profound impact each of a shape
with a profound impact each of a shape
with a profound impact each of a shape our communities by how we choose to
our communities by how we choose to
our communities by how we choose to engage with them or how we choose not to
engage with them or how we choose not to
engage with them or how we choose not to so to do this sort of design thinking
so to do this sort of design thinking
so to do this sort of design thinking yourself you simply need to observe
yourself you simply need to observe
yourself you simply need to observe engage and collaborate open your eyes to
engage and collaborate open your eyes to
engage and collaborate open your eyes to the challenges around your neighborhood
the challenges around your neighborhood
the challenges around your neighborhood schools and towns engage with groups
schools and towns engage with groups
schools and towns engage with groups working on those issues in a way that
working on those issues in a way that
working on those issues in a way that aligns with your own passion your own
aligns with your own passion your own
aligns with your own passion your own ideals collaborate with those groups so
ideals collaborate with those groups so
ideals collaborate with those groups so that change happens within change also
that change happens within change also
that change happens within change also starts with a commitment to care this
starts with a commitment to care this
starts with a commitment to care this was apparent to me personally at the
was apparent to me personally at the
was apparent to me personally at the 2013 Boston Marathon as a runner I was
2013 Boston Marathon as a runner I was
2013 Boston Marathon as a runner I was stopped about a quarter mile from the
stopped about a quarter mile from the
stopped about a quarter mile from the finish when the bombings happen before
finish when the bombings happen before
finish when the bombings happen before long there were several hundred maybe
long there were several hundred maybe
long there were several hundred maybe thousand runners held in place tired
thousand runners held in place tired
thousand runners held in place tired dehydrated cold wet held in place while
dehydrated cold wet held in place while
dehydrated cold wet held in place while medical care was rightfully focused on
medical care was rightfully focused on
medical care was rightfully focused on those injured at the finish held in
those injured at the finish held in
those injured at the finish held in place while many of the runners were
place while many of the runners were
place while many of the runners were starting had medical issues of their own
starting had medical issues of their own
starting had medical issues of their own common to running that far for that long
common to running that far for that long
common to running that far for that long but magnified by the cold temperatures
but magnified by the cold temperatures
but magnified by the cold temperatures in wet clothing I didn’t see the heroics
in wet clothing I didn’t see the heroics
in wet clothing I didn’t see the heroics of those at the finish but what I did
of those at the finish but what I did
of those at the finish but what I did see
see
see with strangers spectators who came
with strangers spectators who came
with strangers spectators who came together sharing their own clothing
together sharing their own clothing
together sharing their own clothing their own water their own blankets in
their own water their own blankets in
their own water their own blankets in some cases opening their own homes to
some cases opening their own homes to
some cases opening their own homes to strangers individuals hundreds of
strangers individuals hundreds of
strangers individuals hundreds of individuals who came together despite
individuals who came together despite
individuals who came together despite the fear despite the chaos regardless of
the fear despite the chaos regardless of
the fear despite the chaos regardless of anyone’s politics came together as a
anyone’s politics came together as a
anyone’s politics came together as a community the day was tragic but like
community the day was tragic but like
community the day was tragic but like many I was inspired by our shared
many I was inspired by our shared
many I was inspired by our shared humanity we must shift our perspective
humanity we must shift our perspective
humanity we must shift our perspective the solution doesn’t rest alone in
the solution doesn’t rest alone in
the solution doesn’t rest alone in Capitol Hill where the focus is on the
Capitol Hill where the focus is on the
Capitol Hill where the focus is on the 20% nor is it isolated away in our own
20% nor is it isolated away in our own
20% nor is it isolated away in our own political echo chambers the solutions in
political echo chambers the solutions in
political echo chambers the solutions in here it’s in our shared humanity
here it’s in our shared humanity
here it’s in our shared humanity together through design thinking we can
together through design thinking we can
together through design thinking we can impact the health of our communities and
impact the health of our communities and
impact the health of our communities and the 80% of our health that we can
the 80% of our health that we can
the 80% of our health that we can control this is where we can do more
control this is where we can do more
control this is where we can do more than just be less bad where we can
than just be less bad where we can
than just be less bad where we can thrive where we can recover but Rossetto
thrive where we can recover but Rossetto
thrive where we can recover but Rossetto lost and what ketcham Bala gained thank
lost and what ketcham Bala gained thank
lost and what ketcham Bala gained thank you
you
you [Applause]
”
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