a health care system has failed large demographics prior to the pandemic. heart disease killed more people than the covid-19 pandemic last year. these problems are baked in to the cake. and we need to address those fundamental issues. because people don't trust the system, they don't trust a lot of institutions because they see what happens day in, day out. i am a black physician. i'm a black cardiologyist, you know, i talk about disparities, but i understand that disparities are not an abstract concept. i see how patients of color, particularly black women and indigenous women, and how they are treated in the hospital. they feel the system does not care about them. when they see the government pushing the vaccine, they are like, you didn't care about me more and now you care about me. it's important to listen to the distrust. other folks are using that