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The Healthiest Goldfish

@sandrogalea.skystack.xyz
7 followers 0 following 56 posts

Health is not healthcare. I write about the foundational forces that shape health. This is an automated Substack Account of sandrogalea.substack.com Discover more/Create at: @skystack.xyz

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The Healthiest Goldfish @sandrogalea.skystack.xyz · 26/09/2026
Ideas about Ideas: The limits of technocratic thinking • What are the limits of expert evidence-based analysis?
sandrogalea.substack.com
Ideas about Ideas: The limits of technocratic thinking
What are the limits of expert evidence-based analysis?
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 19/09/2026
A purple public health: Incentives and the research we don’t do • Why what we study is shaped by our motivations, and what this means for what we know
sandrogalea.substack.com
A purple public health: Incentives and the research we don’t do
Why what we study is shaped by our motivations, and what this means for what we know
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 12/09/2026
Thinking and writing in the age of AI • A two-part reflection on knowledge generation and our technological future.
sandrogalea.substack.com
Thinking and writing in the age of AI
A two-part reflection on knowledge generation and our technological future.
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 05/09/2026
Thinking about, and with, AI • A two-part reflection on knowledge generation and our technological future.
sandrogalea.substack.com
Thinking about, and with, AI
A two-part reflection on knowledge generation and our technological future.
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 29/08/2026
Introducing Why Health? • A practical philosophy of public health for a new global moment
sandrogalea.substack.com
Introducing Why Health?
A practical philosophy of public health for a new global moment
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 22/08/2026
Universities, social purpose, and the generation of health • Part three of a three-part series on universities, science, and the promotion of health as our social purpose.
sandrogalea.substack.com
Universities, social purpose, and the generation of health
Part three of a three-part series on universities, science, and the promotion of health as our social purpose.
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 15/08/2026
Why science? • Part two of a three-part series on universities, science, and the promotion of health as our social purpose.
sandrogalea.substack.com
Why science?
Part two of a three-part series on universities, science, and the promotion of health as our social purpose.
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 08/08/2026
What are universities for? • Part one of a three-part series on universities, science, and the promotion of health as our social purpose.
sandrogalea.substack.com
What are universities for?
Part one of a three-part series on universities, science, and the promotion of health as our social purpose.
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 18/07/2026
On soccer, the World Cup, and the water we swim in • A Goldfish extra, reflecting on the role of opportunity in soccer and health
sandrogalea.substack.com
On soccer, the World Cup, and the water we swim in
A Goldfish extra, reflecting on the role of opportunity in soccer and health
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 04/07/2026
How America’s founding ideas have made the world healthier • A reflection on the country’s 250th birthday
sandrogalea.substack.com
How America’s founding ideas have made the world healthier
A reflection on the country’s 250th birthday
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 27/06/2026
The responsibility of idea stewards • What we owe the ideas we inherit
sandrogalea.substack.com
The responsibility of idea stewards
What we owe the ideas we inherit
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 20/06/2026
A purple public health: Disagreement as a starting point • Studying and practicing public health amid real values divides
sandrogalea.substack.com
A purple public health: Disagreement as a starting point
Studying and practicing public health amid real values divides
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 13/06/2026
Health as infrastructure, not intervention • Ebola reminds us of the need for the scaffolding we often do not see until it fails.
sandrogalea.substack.com
Health as infrastructure, not intervention
Ebola reminds us of the need for the scaffolding we often do not see until it fails.
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 06/06/2026
When public health succeeds and no one hears it, does it make a sound? • Thinking about how we communicate public health better
sandrogalea.substack.com
When public health succeeds and no one hears it, does it make a sound?
Thinking about how we communicate public health better
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 30/05/2026
A Purple Public Health: The individual and the public • Rethinking autonomy in a field that serves populations
sandrogalea.substack.com
A Purple Public Health: The individual and the public
Rethinking autonomy in a field that serves populations
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 23/05/2026
Ideas that crowd out alternatives • Why the most prominent ideas are not necessarily the best.
sandrogalea.substack.com
Ideas that crowd out alternatives
Why the most prominent ideas are not necessarily the best.
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 16/05/2026
To the public health class of 2026 • As a new cohort of public health professionals start their careers, some thoughts on the aspirations that guide our work.
sandrogalea.substack.com
To the public health class of 2026
As a new cohort of public health professionals start their careers, some thoughts on the aspirations that guide our work.
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 09/05/2026
Into the light • During commencement season, toward a brighter day for public health
sandrogalea.substack.com
Into the light
During commencement season, toward a brighter day for public health
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 02/05/2026
On being useful • In a rancorous public moment, what could I possibly do?
sandrogalea.substack.com
On being useful
In a rancorous public moment, what could I possibly do?
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 25/04/2026
On finding the discipline to engage • A case for doing the uncomfortable, essential work of listening to ideas we dislike.
sandrogalea.substack.com
On finding the discipline to engage
A case for doing the uncomfortable, essential work of listening to ideas we dislike.
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 18/04/2026
Trust and public health • How to be transparent so we are trusted without having to say “trust us.”
sandrogalea.substack.com
Trust and public health
How to be transparent so we are trusted without having to say “trust us.”
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 04/04/2026
A conversation on the future of public health practice • Learning from leaders in the field in a time of challenge
sandrogalea.substack.com
A conversation on the future of public health practice
Learning from leaders in the field in a time of challenge
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 28/03/2026
Green shoots in public health • During a moment of challenge, signs of hope.
sandrogalea.substack.com
Green shoots in public health
During a moment of challenge, signs of hope.
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 21/03/2026
A Purple Public Health: Remembering the values that sustain us • Resisting the postliberal temptation
sandrogalea.substack.com
A Purple Public Health: Remembering the values that sustain us
Resisting the postliberal temptation
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 14/03/2026
The economics of attention • Why the ideas we see are not all there is
sandrogalea.substack.com
The economics of attention
Why the ideas we see are not all there is
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 07/03/2026
The human consequences of war • Addressing the physical and mental health effects of conflict.
sandrogalea.substack.com
The human consequences of war
Addressing the physical and mental health effects of conflict.
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 28/02/2026
Defining the parameters of debate • How to cool the temperature of our often-heated public conversation
sandrogalea.substack.com
Defining the parameters of debate
How to cool the temperature of our often-heated public conversation
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 21/02/2026
A Purple Public Health: What is public health for? • Revisiting our core purpose in a polarized world.
sandrogalea.substack.com
A Purple Public Health: What is public health for?
Revisiting our core purpose in a polarized world.
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 14/02/2026
On the difference between novelty and insight • And why that matters for the world of ideas
sandrogalea.substack.com
On the difference between novelty and insight
And why that matters for the world of ideas
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 07/02/2026
“Grace is not weakness but resolve.” • The power of embracing grace in this moment.
sandrogalea.substack.com
“Grace is not weakness but resolve.”
The power of embracing grace in this moment.
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 31/01/2026
The moment • Our role in an unsettled, tumultuous time.
sandrogalea.substack.com
The moment
Our role in an unsettled, tumultuous time.
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 24/01/2026
Introducing the Purple Public Health Project
sandrogalea.substack.com
Introducing the Purple Public Health Project
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 17/01/2026
The art of being ourselves • Balancing pragmatic engagement with maintaining our identity and values.
sandrogalea.substack.com
The art of being ourselves
Balancing pragmatic engagement with maintaining our identity and values.
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 10/01/2026
The politics of recognition • Which ideas get heard? Why?
sandrogalea.substack.com
The politics of recognition
Which ideas get heard? Why?
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 03/01/2026
The time to build is always • Meeting the moment in the new year.
sandrogalea.substack.com
The time to build is always
Meeting the moment in the new year.
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 20/12/2025
Looking back on 2025 • Reflections on the challenging year that was.
sandrogalea.substack.com
Looking back on 2025
Reflections on the challenging year that was.
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 13/12/2025
On connecting too many dots • Ensuring the integrity of the associations that support our conclusions.
sandrogalea.substack.com
On connecting too many dots
Ensuring the integrity of the associations that support our conclusions.
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 06/12/2025
Thinking outside the algorithm • On creating a better climate of ideas
sandrogalea.substack.com
Thinking outside the algorithm
On creating a better climate of ideas
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 22/11/2025
Toward a more inclusive public health rhetoric • On embracing language that unifies in pursuit of health
sandrogalea.substack.com
Toward a more inclusive public health rhetoric
On embracing language that unifies in pursuit of health
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 08/11/2025
Idea Factories • How understanding where “our” ideas come from can help us have better ideas
sandrogalea.substack.com
Idea Factories
How understanding where “our” ideas come from can help us have better ideas
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 01/11/2025
Who speaks for health? • When communities do not agree with us in the age of MAHA
sandrogalea.substack.com
Who speaks for health?
When communities do not agree with us in the age of MAHA
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 25/10/2025
We should talk • On doing the difficult work of engaging in conversation
sandrogalea.substack.com
We should talk
On doing the difficult work of engaging in conversation
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 11/10/2025
On changing when we should change • Part 1 of 2. The importance of reimagining public health in an uneasy time
sandrogalea.substack.com
On changing when we should change
Part 1 of 2. The importance of reimagining public health in an uneasy time
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 04/10/2025
How data can support a values-based argument for health • On the consequential, rigorous, and inquisitive science that should support a vision of a healthier world.
sandrogalea.substack.com
How data can support a values-based argument for health
On the consequential, rigorous, and inquisitive science that should support a vision of a healthier world.
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 27/09/2025
The Social Life of Ideas • Ideas about ideas, at a time when ideas feel endangered
sandrogalea.substack.com
The Social Life of Ideas
Ideas about ideas, at a time when ideas feel endangered
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 20/09/2025
On the complexity of moral argument • Understanding that good people, for good reasons, hold on to ideas we strongly disagree with
sandrogalea.substack.com
On the complexity of moral argument
Understanding that good people, for good reasons, hold on to ideas we strongly disagree with
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 13/09/2025
Building health on shared values • Why a focus on enduring principles should underlie all efforts in health
sandrogalea.substack.com
Building health on shared values
Why a focus on enduring principles should underlie all efforts in health
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 06/09/2025
Clarifying misunderstandings about population health • A science refresher to help move us past the health mistakes of the moment
sandrogalea.substack.com
Clarifying misunderstandings about population health
A science refresher to help move us past the health mistakes of the moment
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 30/08/2025
On keeping the faith • Leaning into hope at the start of a new school year
sandrogalea.substack.com
On keeping the faith
Leaning into hope at the start of a new school year
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The Healthiest Goldfish @sandrogalea.skystack.xyz · 23/08/2025
What happens then? • The practical consequences of losing a country’s commitment to science
sandrogalea.substack.com
What happens then?
The practical consequences of losing a country’s commitment to science
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