10/16/2026
Public health and primary care are often treated as separate systems. The consequences of that separation become clearest for people who face barriers to both.
KevinMD.com published an excerpt from Pandemics, Poverty, and Politics: Decoding the Social and Political Drivers of Pandemics from Plague to COVID-19, the book by Wellness Equity Alliance’s CEO and Founder Tyler B. Evans, MD, MS, MPH, DTMH, FIDSA. Dr. Evans insight includes:
👉 “Integrating public health and primary care is not complicated. It requires three commitments:
• Bring care to people, not people to care. Mobile, school-based, and street-based clinical models must be funded as core health infrastructure, not temporary projects.
• Treat community health workers as essential providers. They are the bridge between systems and lived experience, between institutions and trust.
• Align incentives with outcomes, not volume. Our current model rewards sickness, not prevention. An equitable system rewards the avoidance of disease, not the treatment of its complications.”
👉 “Public health is supposed to shield entire populations. But in the U.S., these forces operate in separate orbits, connected only in moments of crisis. We wait for emergencies (a disease outbreak, a natural disaster, or a rising body count) to build the bridges that should exist every day.”
👉 “The question is not whether we can build the bridge. It is whether we have the courage to stop pretending the gap is someone else’s problem.”
At WEA, that bridge takes practical form. Our street medicine teams bring integrated care directly to people who often face the greatest barriers to traditional healthcare, including those who are unsheltered, housing insecure, living in rural communities, or otherwise disconnected from care. Services include compassionate primary care, behavioral health, substance use treatment, overdose prevention, HIV prevention and field-based care, and wraparound care coordination.
https://kevinmd.com/2026/01/public-health-and-primary-care-integration.html
Pandemics, Poverty, and Politics https://www.tylerevansmd.com/
Public health and primary care integration is essential for health equity. Learn how mobile care and community health workers can bridge the gap and save lives.