The project, the Roseman University College of Medicine, is hoping to open in 2025, pending preliminary accreditation from the LCME (Liaison Committee on Medical Education). Our program focuses on addressing Social Determinants of Health (SDoH) through a household-centered care model. Under physician supervision, students will follow two households over their four years of training, targeting households that are either uninsured or rely on Medicaid. Up to 90% of diseases in America are linked to non-biological factors (SDoH), and without addressing these through policy changes, meaningful improvements will remain elusive. Critical areas such as education, housing, living wages, and transportation are central to addressing these health challenges.

A stark example is Ann Case’s report Deaths of Despair, which highlighted increasing morbidity and mortality rates in 2019 from suicide, overdose, and alcoholic liver disease. The most affected demographic was non-Hispanic whites, particularly among the boomer generation, with lack of higher education emerging as a key driver. Outcomes were tied to income, wealth, and other SDoH factors. As I approach the twilight of my career, my goal is to raise awareness that health outcomes are deeply shaped by social and public policies, and these must be addressed to create meaningful change.