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Love the map as a visual for these important investments in health. It does make me wonder, though, if the pendulum has swung too far towards policy & systems. The individual still needs a role in our efforts. It's not just 'done to them' through health care (primary & tertiary) coming up to meet society (jobs, ag, justice, policy...). Individuals, families and local communities can, & often want to, intervene on their own behalf (think Paulo Freire). That's particularly true around primary prevention - which isn't well represented on this map. (Unless you think the only way primary prevention takes place is with primary care. That idea would be a real surprise to parents teaching their kids to eat f&v.)

Perhaps, somewhat like a "cost-effectiveness" dimension, interventions could be mapped with regard to their "population reach." In this regard I also like Frieden's Health Impact Pyramid (Frieden TR, "A Framework for Public Health Action: The Health Impact Pyramid" AmJ Public Health. 2010;100:590–595), which shows the inverse correlation between "increasing population impact" and "increasing individual effort needed".

I like the shading to depict the frontier between health care and the broader determinants. Although the horizontal axis depicts the journey from wellness through illness to death, it really doesn't provide much insight into that journey from the person's perspective, other than that it requires increasingly more resources. I think what's important to the person is how their health and functional status change over that journey, and how we might either slow the progression or make it more enjoyable along the way, as Joanne Lynn describes in her "Bridges to Health" model (http://www.milbank.org/quarterly/MILQ%2085.2%20Lynn%20et%20al..pdf).

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