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At A Larger Scale, stories of real people - drawn from my experiences in medicine and politics - reveal the impact of policy choices on our health and wellbeing. This connection to the human experience opens a path to exploring the impact of political choices and the options for change that could make life better and healthier for us all.

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The health of people is the best measure of the health of our societies. This substack explores the intersection between politics and health and the stories we encounter on the diverse and diverging roads that lead from that crossing.


Rhymes with smiley, usually is 😃. Family doctor and TB consultant. Former leader of Saskatchewan NDP. Author A Healthy Society (2012) and A Healthy Future (2023). http://www.ubcpress.ca/ryan-meili