We are told that our personal health is our individual responsibility based on our own choices. Yet, the biological truth is that human health is dependent upon the health of nature’s ecosystems and our social structures. Decisions that negatively affect these larger systems and eventually affect us are made without our consent as citizens and, often, without our knowledge. Dr. Rupa Marya, Associate Professor of Medicine at UC San Francisco, and Faculty Director of the Do No Harm Coalition, says "social medicine" means dismantling harmful social structures that directly lead to poor health outcomes, and building new structures that promote health and healing.