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Shifting focus from acute care medicine to community based heath care is a moral imperative, according to this author, who recommends an emphasis on building healthy communities, supporting families, and helping individuals live healthier lives. Comment: Building healthy communities is a complex issues, with unemployment and poverty primary (but not the only) obstacles to good health. Getting people to stop bad habits and start good habits is challenging, and too often money is thrown at the problem without clear evidence as to what works, and what does not work. The problem I have with this article is that it is theoretical, and not evidence-based. The concepts are valid, but science frequently surprises us and debunks even the most logical concepts. We need more research into how to get people to change their habits for the better. This is the moral imperative, not simply adopting unproven socialist programs. Hastings Cent Rep. 2016 Sep;46 Suppl 1:S48-51    (retrieved Sep, 2016). There are currently 1090 pearls in the database. While every attempt has been made to ensure accuracy, mistakes can and do occur. Use databank at your own risk. All pearls © 2024 by the Internet Medical Association. Click Here to view more medical pearls.