While the MAHA strategy proposes shifting upstream to focus on four potential drivers of health (diet, chemical exposure, lack of physical activity and chronic stress, and overmedicalization), it narrows the chronic-disease framework. It does not significantly address other social determinants of health such as housing, transportation, community safety, environmental injustices, and institutional racism, ignoring structural inequities. It also diverts attention from other significant health issues, such as injury prevention and maternal and child health.
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