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Honest Conversations. Better Science. Real Health Outcomes
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Honest Conversations. Better Science. Real Health Outcomes
Honest Conversations. Better Science. Real Health Outcomes
Journal Article

Honest Conversations. Better Science. Real Health Outcomes

2019
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Overview
We live in a curious and frustrating time at the intersection of public health policy and leadership. The quality of science and research that affects public health outcomes has never been higher, but public trust in governments and leadership in the United States has plummeted to an all-time low (https://bit.ly/ 2WSpan3). So, how can elected leaders and research scientists work to improve the handshake between policymaking, science, and health?One instructive story may exist in the recent history of Oklahoma City, Oklahoma. Perhaps out of the limelight, Oklahoma City's recent transformation enabled a serious public policy debate, positively affected health outcomes, and directed hundreds of millions of dollars in public and private investment to health-improving infrastructure and development.In 2004 when I was elected to my first of four terms as mayor, our city was already on a considerable upswing. We had diversified our economy and decided as a population to invest hundreds of millions of public dollars to improve our quality of life. Our goal was to attract recent graduates and growing companies to call Oklahoma City home. After a few years of focused attention, it was working.As a new mayor, my goals were to improve my hometown's brand and build on the momentum my predecessors had already begun. I had no intention of addressing the health and wellness issues of the city. The problem was, I simply could not avoid it. Health is a serious issue and, according to the metrics, we were failing. While I was dealing with the personal dilemma of how to address an issue of which I knew little, along came a ranking that would ultimately change my perspective.