For_PRP the_AT0 security_NN1 of_PRF our_DPS citizens_NN2 and_CJC the_AT0 well-being_NN1 of_PRF our_DPS society_NN1 the_AT0 argument_NN1 is_VBZ being_VBG made_VVN that_CJT we_PNP should_VM0 "_PUQ defund_NN1 the_AT0 police_NN2 "_PUQ and_CJC transition_NN1 to_PRP a_AT0 public_AJ0 health_NN1 approach_NN1 to_PRP community_NN1 safety_NN1 ._SENT For_PRP similar_AJ0 reasons_NN2 ,_PUN why_AVQ not_XX0 do_VDI the_AT0 same_DT0 for_PRP our_DPS health_NN1 care_NN1 system_NN1 ?_SENT The_AT0 "_PUQ defund_NN1 the_AT0 police_NN2 "_PUQ argument_NN1 goes_VVZ as_CJS follows_VVZ :_PUN With_PRP crime_NN1 continuing_VVG to_TO0 plague_VVI our_DPS society_NN1 ,_PUN the_AT0 argument_NN1 concludes_VVZ that_CJT our_DPS law_NN1 enforcement_NN1 system_NN1 is_VBZ beyond_PRP reform_NN1 and_CJC should_VM0 be_VBI defunded_AJ0 ,_PUN reimagined_AJ0 and_CJC restructured_AJ0 ._SENT Unfortunately_AV0 ,_PUN similar_AJ0 arguments_NN2 are_VBB also_AV0 applicable_AJ0 to_PRP our_DPS health_NN1 care_NN1 system_NN1 :_PUN Midwife-run_AJ0 birth_NN1 centers_NN2 ,_PUN for_PRP example_NN1 ,_PUN have_VHB excellent_AJ0 birth_NN1 outcomes_NN2 at_PRP lower_AJC cost_NN1 and_CJC higher_AJC patient_NN1 satisfaction_NN1 but_CJC are_VBB limited_VVN by_PRP restrictive_AJ0 systems_NN2 and_CJC policies_NN2 ._SENT Advanced_AJ0 practice_NN1 nurses_NN2 ,_PUN community_NN1 health_NN1 workers_NN2 ,_PUN doulas_NN2 ,_PUN nutritionists_NN2 ,_PUN social_AJ0 workers_NN2 ,_PUN etc._AV0 ,_PUN are_VBB also_AV0 systematically_AV0 underutilized_AJ0 and_CJC often_AV0 actively_AV0 opposed_VVN by_PRP the_AT0 medical_AJ0 establishment_NN1 ,_PUN despite_PRP solid_AJ0 evidence_NN1 of_PRF their_DPS value_NN1 ,_PUN especially_AV0 in_PRP underserved_AJ0 communities_NN2 ._SENT Amid_PRP all_DT0 of_PRF this_DT0 ,_PUN U.S._NP0 health_NN1 outcomes_NN2 like_PRP life_NN1 expectancy_NN1 and_CJC infant_NN1 and_CJC maternal_AJ0 mortality_NN1 are_VBB abysmal_AJ0 and_CJC are_VBB now_AV0 the_AT0 worst_AJS among_PRP high-income_AJ0 countries_NN2 ._SENT Seemingly_AV0 ,_PUN the_AT0 more_AV0 we_PNP invest_VVB in_PRP our_DPS health_NN1 care_NN1 system_NN1 ,_PUN the_AT0 less_AV0 healthy_AJ0 we_PNP become_VVB ._SENT Our_DPS health_NN1 care_NN1 system_NN1 appears_VVZ to_TO0 be_VBI beyond_PRP reform_NN1 and_CJC should_VM0 be_VBI reimagined_AJ0 and_CJC restructured_AJ0 ._SENT Yet_AV0 ,_PUN unlike_PRP efforts_NN2 to_TO0 reform_VVI policing_NN1 ,_PUN no_AT0 one_PNI is_VBZ publicly_AV0 advocating_VVG to_PRP "_PUQ defund_NN1 the_AT0 health_NN1 care_NN1 system_NN1 ._SENT "_PUQ Why_AVQ ?_SENT Most_AV0 obvious_AJ0 is_VBZ that_CJT the_AT0 size_NN1 and_CJC complexity_NN1 of_PRF the_AT0 health_NN1 care_NN1 system_NN1 makes_VVZ reforming_VVG it_PNP a_AT0 gargantuan_AJ0 task_NN1 and_CJC the_AT0 failure_NN1 of_PRF previous_AJ0 efforts_NN2 have_VHB dampened_VVN people_NN0 's_POS enthusiasm_NN1 ;_PUN not_XX0 to_TO0 mention_VVI that_CJT reform_NN1 is_VBZ opposed_VVN by_PRP powerful_AJ0 vested_AJ0 interests_NN2 who_PNQ are_VBB financially_AV0 benefiting_VVG from_PRP the_AT0 current_AJ0 system_NN1 ._SENT But_CJC the_AT0 main_AJ0 reason_NN1 is_VBZ that_CJT we_PNP embrace_VVB an_AT0 inaccurate_AJ0 narrative_NN1 about_PRP health_NN1 and_CJC health_NN1 care_NN1 ._SENT We_PNP consider_VVB health_NN1 to_TO0 be_VBI an_AT0 individual_NN1 ,_PUN not_XX0 a_AT0 community_NN1 ,_PUN responsibility_NN1 and_CJC consider_VVB treatment_NN1 more_AV0 important_AJ0 than_CJS prevention_NN1 ._SENT We_PNP fail_VVB to_TO0 recognize_VVI that_CJT only_AV0 about_PRP 10_CRD %_NN0 of_PRF our_DPS health_NN1 is_VBZ determined_VVN by_PRP health_NN1 care_NN1 and_CJC 30_CRD %_NN0 by_PRP individual_AJ0 behavior_NN1 choices_NN2 while_CJS 60_CRD %_NN0 is_VBZ determined_VVN by_PRP community_NN1 factors_NN2 —_PUN social_AJ0 ,_PUN economic_AJ0 and_CJC environmental_AJ0 conditions_NN2 ._SENT And_CJC ,_PUN since_CJS most_DT0 health_NN1 care_NN1 services_NN2 are_VBB delivered_VVN by_PRP private_AJ0 entities_NN2 ,_PUN we_PNP do_VDB n't_XX0 feel_VVI empowered_VVN to_TO0 hold_VVI health_NN1 care_NN1 accountable_AJ0 ,_PUN despite_PRP the_AT0 fact_NN1 that_CJT about_PRP 70_CRD %_NN0 of_PRF all_DT0 health_NN1 care_NN1 is_VBZ paid_VVN for_PRP with_PRP public_AJ0 dollars_NN2 ._SENT We_PNP must_VM0 recognize_VVI that_CJT health_NN1 care_NN1 reform_NN1 is_VBZ linked_VVN with_PRP police_NN2 reform_NN1 because_CJS both_DT0 systems_NN2 help_VVB determine_VVB the_AT0 health_NN1 of_PRF a_AT0 community_NN1 and_CJC both_DT0 are_VBB failing_VVG ._SENT 
