Dr. Bill sakanatha kusankha kuti ndi mbali yanji ya mankhwala yomwe ankaikonda kwambiri, koma kukhala katswiri wa zachipatala kunkagwirizana ndi mfundo zake. Atachoka ku Oklahoma ndikumaliza kukhala ku Colorado, ntchito yake yoyamba inali ndi Denver Health m'dera la Globeville mumzinda. Kenako anapita kukagwira ntchito kwa Kaiser Permanente ndipo atatha pafupifupi zaka 10 akugwira ntchito, anayamba kuona kuti zambiri zomwe zimakhudza thanzi la odwala ake zinali zochepa kwambiri ndi "chipinda choyesera" ndi zina zambiri zokhudzana ndi ntchito yawo, mtundu. zachuma, ndi mabanja. Kenako adachita digiri ya Masters mu Public Health ndipo adatsimikiza kwambiri kuti nkhani za "social determinants" (ngakhale kuti samadziwa kuti ndizo zomwe amatchedwa) zimakhudza kwambiri thanzi la anthu kuposa mankhwala aliwonse omwe angalembe. Kuchokera kubanja lothandizira komanso kukhala ndi mnzanga wabwino kwambiri yemwe timagawana nawo ana atatu ndi zidzukulu zisanu ndi chimodzi (mpaka pano…) amamvetsetsa kufunikira kwa "thanzi." Ndi za kumasuka ku nkhawa ndi nkhawa zachipatala kuti onse athe kukwaniritsa maloto awo. Tonsefe ndife oyenerera ufulu waumunthu umenewu.