Healthy Kansans

Healthy Kansans2026-02-11T18:28:58-06:00

About this Collection

Healthy Kansans contains interviews of individuals who were involved with development and implementation of state health policy from the 1970s through the early decades of the 2000s. Kansas saw a decline in its State Health Performance Indicators during the last 30 years.  These interviews will help policymakers understand the evolution of organizations and institutions related to the health of Kansans and determine how effective those organizations and institution have been in promoting a Healthy Kansas. The interviews elicit insights about the policy making process, the assignment of priorities, and the give-and-take involved in reaching final policy decisions.

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 is Show Moreimportant 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 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. Since Bob St. Peter will be interviewing all the rest of the participants in this series, Jim McLean wanted to use this interview to establish his expertise. St. Peter was the first President and CEO of the Kansas Health Institute; he stayed 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 Show Morewhy the health rankings are 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 or housing, transportation influenced a person's health. St. Peter pointed 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, faster than Kansas in improving the health outcomes for their citizens that Kansas should be working on as well. Show Less
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