mike’s Substack
“With and For” is a platform for reimagining global health through the lens of sustainability, science, and shared purpose—where solutions are co-created with communities and powered by innovation for lasting impact.
- Indexed issues, last 90 days
- 11
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- Sep 29, 2026
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- Aug 4, 2026
Latest issues
A new rhythm, thinking bigger... (opens the original)
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Over the next few months, I’ll be mixing things up here. Some posts on emerging global health science/research, (esp around AI). Some on where global health goes next. And some more creative, less obviously professional writing that I’m finally letting out into the world. Watch the video here for more on that…Cape Town was spectacular, by the way. But the conversations were better than the views. There’s something sustaining about being surrounded by brilliant, thoughtful people who care deeply
Putting the Public Back In Public Health (opens the original)
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TL;DR: Public health should be about more than delivering interventions to people; it should build the conditions in which people have power, responsibility, and reason to look out for one another. We should treat prosociality and solidarity as public-health interventions themselves, and build a research agenda around whether we can foster them, measure them, and demonstrate their effects on health and inequity.Every few months, one of my favorite patients turns up in clinic. He is retired, an a
After Global Health: Building the Next Era of Applied Public Health (opens the original)
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Below is the substack post. The op-ed is also outlined here: <img alt="Merai and Dorian stand together in front of the doors to the Hawaii Departm
GH Podcast #6 (& the Unbearable Slowness of Global Health) (opens the original)
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Whatever you think of Donald Trump, he understands speed. Time and again, his instinct is to move fast and break things—and, in the case of USAID, to move with such ferocious speed that by the time anyone could mount a defense, much of the destruction was already done. [An aside here: I hope there is eventually a serious accounting of what that particular exercise in velocity cost: lives lost, programs abandoned, goodwill accumulated over decades squandered in weeks, and careers devoted to publi
Can the Last Person in U.S. Global Health Please Turn Off the Lights? (opens the original)
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This week, Dr. Becky Bunnell announced her intention to step down from PEPFAR leadership. And that’s a big deal. On the one hand, I don’t want to overstate the importance of any single individual. PEPFAR has always been an extraordinary collective enterprise, built by thousands of public servants, clinicians, activists, researchers, implementing partners, governments and communities. No one person built it. No one person saved it. On the other hand, let me state clearly:I am not sure PEPFAR woul
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