Although social media is all around us, there is a tendency to forget that it is still new and, in the case of public health, very new. What would / did our health communications system look like if it was designed for pamphlets instead of apps, door-to-door visits instead of Facebook, and libraries instead of websites? It might look a lot like today.
Our ability to change can be tied to the degree of embeddedness we have within larger systems and how tight the fit between the layers or levels are. Barack Obama’s electoral success and governance frustrations are used to illustrate.