On Thursday, I graduated from the Harvard Business School & the Harvard Kennedy School of Government.

On Tuesday, I restart my 7th and final year at Harvard Medical School.

Next year, I will become the 1st person in history to graduate from these three institutions.

1/x As excited as this makes me, what truly makes me smile is doing this as the son of two formerly undocumented, non-English speaking immigrant parents who slept in the attic of a church for 2 years when they first arrived in the U.S...

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We hear it often: "Kaiser spends $50M on housing," "United HC donates $3M to food security..." so we asked, how much are private insurers REALLY spending on #SDOH?

Our work in @JournalGIM attempts to answer this Q -- you may or may not be surprised.

link.springer.com/article/10.100…

1/x After identifying social spending for the top 20 US health insurers by market share (66%+ of the total market), we found that:

1. 💰 Bw 2017-2021, social spending was at least $1.87 billion

2. 🏩 The top 6 insurers made up nearly 3/4 of that spending

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During my second year of medical school, I rotated through the trauma surgery department at one of Boston's most prestigious hospitals.

In my first two weeks, I met some exceptional residents and got to scrub into awesome cases.

But everything changed one week later.

1/🧵 A new intern and resident joined the team.

I always looked forward to meeting the medical trainees, since I often thought about becoming a trauma surgeon. They were role models in my eyes.

Slowly, though, they proved me wrong.

2/

Before starting my junior year of college, I made a trip to the local Walmart. I shopped for chicken, eggs, and milk when I noticed a man shyly approaching other customers.

He looked to be in his forties, and I could overhear him nervously speaking in Spanish.

1/x The first customer he approached waved him away. Then the second, and the third. I continued shopping until I felt a hand lightly tap my shoulder.

It was the man, we'll call him Miguel. He asked for spare change, but I remorsefully told him that I barely had enough $ for..

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My 59-year-old uncle died last night from #covid19. He was one of my biggest supporters, a devoted father to his children, and a loving brother to my mother and her siblings.

His name is Jorge Garcia and this is my part of his story.

1/x I first met my uncle Jorge when I visited Guatemala as a child. He lived with his wife and children in a barrio filled with family and friends--they never had much, but he worked tirelessly to maintain their home.

When opportunity struck however, he traveled to America.

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