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1 Based on this chapter and on your own experience, how would you define health equity and social justice for a health promotion program? What principles, knowledge, skills, and actions do you want to gain in your work for health equity and social justice?

2 What health equity and social justice issues are relevant to the community in which you live? Reflect on how and why the issues might be of concern for health promotion programs. How do they impact community members’ ability to access safe, affordable programs in a dignified and sustainable way? How do they impact people’s physical, nutritional, cultural, emotional, social, psychological, and spiritual health? What can you do to get involved in your community to address the issues?

3 Start a conversation about health equity within your agency or organization. Health equity is more than one intervention; it’s a lens through which all of your work is viewed. As part of the conversation, how will you achieve fair allocation of community resources and investment in marginalized and under-resourced communities and ensure representation of these groups in decision-making processes?

4 Describe how you would seek partnerships across sectors such as transportation, housing, education, and law enforcement to create conditions that enable all people and communities to attain and sustain good health.

5 What can we as individuals do in our lives to interpret the “isms” (racism, sexism, and ageism) that occur in everyday life? What does it mean for you to be antiracist, anti-sexist, anti-ageist? Focus on actions at the personal level that we encounter with peers and friends in school and community and with our families. Focus on actions with institutional policies and procedures that are barriers to health equity and social justice.

6 Himmelstein and Woolhandler (2017) proposed a health vision for the nation based in social justice as a way to achieve health equity: 21st Century Vision for Progress in the United States. The nine-part vision challenges the status quo. What are the benefits and barriers to achieving their proposed health vision?