Brazil’s helicopter highways

Brazil’s helicopter highways

It is well known that Brazil has extreme wealth inequality, with excessive wealth concentrated in 1% of the population, in particular 0.1% of the population. In 2024, those that ranked in the top 1% of income made 21,767 reals per month on average. The top 10%...
Think in reverse

Think in reverse

What is the secret to designing a data system that provides useful information? Or getting great outcomes from a project? People who know me know I think “public health is everything” (a blog for another day). In recent years I have added another maxim: “think in...
Navigating complexity: What is the next best decision?

Navigating complexity: What is the next best decision?

How do we move forward when there is so much complexity, so many possible next steps and not enough time to do them all? I have previously written about working in complexity in my blog on an adaptive approach to influencing complex systems. This involved going with a...
Strategy for difficult reform

Strategy for difficult reform

Big public health reform can happen quickly when the conditions are right, but most often effective and long term change is incremental and slow. We saw in the aftermath of the terrible loss of life in the Port Arthur Massacre that gun control could happen rapidly....