Today, there are many complicated pediatric issues that are often hard to discuss in an office setting. The drivers of these modern health care dilemmas are often the social determinants of health or the conditions in which people are born, work, live, and age. Because these social determents vary considerably across the communities that we serve, health disparities exist for many Americans. In this episode, we are going to be talking with a pediatrician who is trying to get up stream on many of the health care problems in Southern California.      Dr. IIan Shapiro is the Medical Director of Health and Wellness Education and currently serves as the Chief Health Correspondent and Medical Affairs Officer at AltaMed. Ilan has spent his entire career providing care to medically underserved populations.