Topic: Social Determinants of Health

Interview of Melody McCray-Miller, April 21, 2022

Interviewed by Frances Jackson

Melody McCray-Miller describes her job as speaking truth to issues that were relevant at that time, and representing a group of people who were marginalized. Rep. Miller was not the "status quo." She doesn't consider herself a "politician" but instead, a public servant. Her concept of public policy or public service was influenced by the fact that she is a Black woman who was raised in a Black family. She is the daughter of Billy Q. McCray, the first African American Commissioner in Sedgwick County who also served as a state Senator. Show More One of her mentors described her as "tough as leather." Miller was in business with her husband, and also taught school prior to running for office. She detailed how she handled conflicts or incidents of racial discrimination by "pushing forward." The latter part of the interview deals with a variety of legislative issues McCray-Miller initiated or followed. Those issues ranged from early childhood education, to payday lending, juvenile justice and health policy. Show Less

Interview of Gianfranco Pezzino, January 23, 2026

Interviewed by Robert St. Peter

This interview with Dr. Gianfranco Pezzino is the second in the Healthy Kansans series and sets the stage for understanding the concern that Kansas has slipped considerably in the nationwide rankings of health in the states over the last 30 years. His explanation of how the rankings work and why they are important is clear and understandable. Pezzino stated, "In the end, I became more and more convinced that the important thing was not the numbers. It was the communication that we could build around those numbers." His discussion of the social determinants of health Show Moreis important to understanding the rankings. He recalls a controversy covered by the local newspaper that quoted the county commissioner saying, "What does education have to do with health?" He used that as a opportunity to begin a community conversation about those linkages. As an epidemiologist, Dr. Pezzino has played many roles in health policy in Kansas - from the local health officer to state policy maker. He recounts the stresses of being the county health officer during COVID and comments that the "social contract has been broken." He comments that there is still value in providing accurate data as a public health person but now a lot of the authority has been moved from public health officers to local elected officials. That change has created a tension between individual rights and the social good. Show Less

Interview of Robert St.Peter, January 23, 2026

Interviewed by Jim McLean

This is the opening interview for the series, Healthy Kansans. Dr. Bob St. Peter will be interviewing all the rest of the participants in this series, so Jim McLean wanted to use this interview to establish his expertise. St. Peter was President and CEO of the Kansas Health Institute for 24 years, developing and expanding their services in Kansas. Prior to that he had extensive experience in Washington DC with health policy [see his biography]. For this series of interviews, St. Peter defines health in the broadest terms and points out why the health rankings Show Moreare valuable information for policy makers. The Kansas Health Foundation which created KHI really wanted the KHI to look at a broad set of issues that influenced how healthy we are as a city, as a county, as a state, and how education, housing and transportation influenced a person's health. St. Peter points out that health in Kansas isn't getting worse. People in Kansas are living longer, generally experiencing lower rates of cardiovascular disease, stroke, etc. So, it is not that our collective health is getting worse; it is that our relative standing compared to other states is getting worse. Other states are doing better and are faster than Kansas in improving the health outcomes for their citizens. Kansas should be working on this as well. Show Less