Furthermore, the efforts of the public health system must be supported by political will-which comes from elected officials who commit resources and influence based on evidence-and by “healthy” public policy-which comes from governmental agencies that consider health effects in developing agriculture, education, commerce, labor, transportation, and foreign policy. As has been outlined in the preceding pages, what is needed is the creation of an effective intersectoral public health system. To best address the social, economic, and cultural environments at national, state, and local levels, the nation's efforts must involve more than just the traditional sectors-the governmental public health agencies and the health care delivery system.
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Approaching health from a population perspective commits the nation to understanding and acting on the full array of factors that affect health. Such repositioning will affirm and expand existing commitments to reflect a broader perspective. Given these issues, the committee believes that it is necessary to transform national health policy, which traditionally has been grounded in a concern for personal health services and biomedical research that benefits the individual. The work of assuring the nation's health also faces dramatic change, systemic problems, and challenging societal norms and influences. As noted in Chapter 1, America's health status does not match the nation's substantial health investments. Assuring the health of the public, however, goes beyond focusing on the health status of individuals it requires a population health approach. For most people, thinking about health and health care is a very personal issue.
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