We can build new bridges to health

November 13, 2024
“It is easy to become immobilized by injustice. At times it all feels like too much. [Robert Wood Johnson Foundation’s] “Bridge to Health” model offers some hope that we have the agency to replace these old bridges with new ones that enable everyone to thrive.”

Keleigh Waldner is the Senior Manager of Communications and Research at the Public Health Institute of Western Massachusetts.


She writes, "When someone asks me how to explain structural racism or social determinants of health, I often direct them to Robert Wood Johnson Foundation’s 'Bridge to Health' model. The bridge metaphor illustrates structural racism in an accessible way. One bridge is built to safely carry people to their destination of good health, while the other is intentionally constructed with barriers. 


I appreciate this metaphor because it highlights the human role in creating systems and practices that value some lives more than others. This isn’t a natural occurrence; it’s the result of intentional decisions over time. Given the rise in rhetoric suggesting that our genes are responsible for our intelligence or criminality, it feels important to emphasize this point. Inequality isn’t genetic, rather, it is deeply steeped into our policies, systems, and environments. 


It is easy to become immobilized by injustice. At times it all feels like too much. The 'Bridge to Health' model offers some hope that we have the agency to replace these old bridges with new ones that enable everyone to thrive." 

share this

Related Articles

December 11, 2025
As Massachusetts considers legalizing internet casino gambling through H.4431, join us for a free webinar about what these changes could mean for public health and our communities. Speakers include Mark Gottlieb of Northeastern Law’s Public Health Advocacy Institute, Victor Ortiz from the MA Dept. of Public Health Office of Problem Gambling, and State Representative Lindsay Sabadosa. The discussion will be moderated by Jessica Collins of the Public Health Institute of Western Massachusetts, and attendees will have the opportunity to submit questions during a live Q&A.
December 5, 2025
Springfield, MA – The Kresge Foundation has awarded the Public Health Institute of Western Massachusetts , as convener of the Live Well Springfield coalition, a grant of $225,000 per year for three years to address climate change and protect people’s health in communities disproportionately affected by extreme heat, flooding, air and water pollution, and chronic and infectious disease. The Public Health Institute of Western Massachusetts is one of 32 organizations nationwide receiving grant funding as part of The Kresge Foundation’s Climate Change, Health and Equity initiative. Live Well Springfield partners on the grant include Arise for Social Justice, Pioneer Valley Planning Commission, Way Finders, and Springfield Climate Justice Coalition. With this funding, the Live Well Springfield Climate Change, Health, and Equity Committee (CCHE) will expand its efforts to build a healthier, more resilient Springfield. The Live Well Springfield CCHE Committee will: Work with the City of Springfield to build awareness and adoption of the Community Choice Power Supply Program, which uses collective buying power to secure stable, affordable electricity from cleaner, renewable sources. Live Well Springfield successfully advocated for the City to adopt this program, with support from a previous Kresge grant. Help update the city’s Climate Action and Resilience Plan, ensuring it reflects current challenges and community needs. Explore housing development policies that protect residents from extreme heat. Continue to advance statewide advocacy against polluting biomass facilities. Host community workshops on climate resilience. “Kresge’s continued investment in Springfield is vital to sustaining our momentum in advancing climate justice. We feel proud and empowered to stand tall among the many major cities that were also selected for this honor,” said Samantha Hamilton, Director of Coalition Building and Community Engagement at the Public Health Institute of Western Massachusetts . “Collaboration is critical to address the impacts of climate change,” said Jessica Collins, Executive Director of the Public Health Institute of Western Massachusetts. “These Kresge funds will help us advance strategies originally planned with the city and other partners before the EPA unexpectedly terminated the $20 million Community Change grant. We are so grateful that private philanthropy continues to step up and support local and regional climate mitigation work.” “The human health impacts of climate change are profound, and while climate change affects us all, it hits some communities harder than others. The pollution that creates dangerous heat waves and severe storms causes the most harm in communities already experiencing persistent health inequities, like lack of access to safe housing and quality health care, as well as chronic illnesses and respiratory disease, said Shamar Bibbins, Kresge Environment Program managing director . “Equitable solutions must be driven by the communities most affected, and doing so in partnership with trusted health practitioners and institutions can amplify local innovations and build broader momentum for change.” “Long-term change in cities requires strong and sustained cross-sector partnerships. Working together, we ensure that all of us, no matter who we are or where we live, have the opportunity to be healthy and to thrive. Climate action is fundamentally a public health imperative—offering transformative opportunities to reduce mental health burdens, chronic diseases, and infectious disease spread while advancing health equity for all," said Monica Valdes Lupi, Kresge Health Program managing director . For more information on Kresge's Climate Change, Health & Equity initiative, click here . ABOUT THE PUBLIC HEALTH INSTITUTE OF WESTERN MASSACHUSETTS The Public Health Institute of Western Massachusetts supports communities in their efforts to become measurably healthier and more equitable through community engagement, convening collaborative partnerships, communications, data analysis, research and evaluation, and policy advocacy. We are committed to continuous learning, fostering collaboration, and amplifying the voices of those we serve. For more information, visit PublicHealthWM.org  ###
November 18, 2025
Rural Realities: Advancing Health Equity in Western MA's Rural Communities