2-June-2025

Dr. Rishi Manchanda, a physician and public health innovator, presents a compelling argument for reimagining our healthcare system. He emphasizes the importance of addressing the root causes of illness—factors often found outside the clinical setting, such as housing conditions, environmental exposures, and socioeconomic status. In his talk, Dr. Manchanda introduces the concept of “upstreamists,” healthcare professionals who look beyond immediate symptoms to identify and address underlying social determinants of health. He shares the story of Veronica, a patient suffering from chronic headaches. Traditional medical evaluations failed to provide relief, but by investigating her living conditions, Dr. Manchanda discovered issues like mold and pest infestations contributing to her ailments. Addressing these environmental factors led to a significant improvement in her health. The talk underscores the need for systemic changes in healthcare, including training more upstreamists and restructuring payment models to value preventive care. By doing so, we can create a more equitable and effective healthcare system that truly promotes health where it begins—in our homes, workplaces, and communities.