Systems Change

Our health system needs modernizing.

Philanthropy has a role.

CHAPs work to help reconnect health has already started.

There has been a historical underinvestment in the public health system and its workforce. Public health, community health, and primary care systems are siloed, but need to be complementary.


The U.S. has substantially higher spending, worse access to care, and worse population health outcomes compared to other wealthy countries. And communities of color experience vast inequities within those poor outcomes.

Boom and bust funding cycles have resulted in sporadic, time-limited, project specific support, which discourages long-term planning, infrastructure development, care integration and workforce development.


Public health’s archaic, lagging, unintegrated data systems do not support workforce development, data-driven care and care integration.