Dr. Shawna Beese: Neighboring Is Preventive Medicine
In most conversations about health, we start in the wrong place. We start with doctors, medications, and insurance systems — the places we go after something has already gone wrong . Shawna Beese, a rural health researcher and Extension specialist in Washington State, flips that order. Her work explores a simple but disruptive idea: Health is not primarily created in healthcare systems. It is created in neighborhoods. Her research treats neighboring not as a nice social habit, but as a population-level health intervention — a practical way to reduce chronic disease, mental illness, and despair before treatment is needed. Beese’s central insight is that health operates at the scale of everyday life. Where you spend most of your hours — home, street, workplace, local relationships — determines your long-term biological stress load far more than occasional medical visits. Her research focuses on how neighborhood characteristics influence well...