The Healthiest Goldfish
sandrogalea.skystack.xyz
The Healthiest Goldfish
@sandrogalea.skystack.xyz
Health is not healthcare. I write about the foundational forces that shape health.


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Looking back on 2025 • Reflections on the challenging year that was.
Looking back on 2025
Reflections on the challenging year that was.
sandrogalea.substack.com
December 20, 2025 at 5:39 PM
On connecting too many dots • Ensuring the integrity of the associations that support our conclusions.
On connecting too many dots
Ensuring the integrity of the associations that support our conclusions.
sandrogalea.substack.com
December 14, 2025 at 5:37 PM
Thinking outside the algorithm • On creating a better climate of ideas
Thinking outside the algorithm
On creating a better climate of ideas
sandrogalea.substack.com
December 6, 2025 at 2:45 PM
Toward a more inclusive public health rhetoric • On embracing language that unifies in pursuit of health
Toward a more inclusive public health rhetoric
On embracing language that unifies in pursuit of health
sandrogalea.substack.com
November 24, 2025 at 1:38 PM
Idea Factories • How understanding where “our” ideas come from can help us have better ideas
Idea Factories
How understanding where “our” ideas come from can help us have better ideas
sandrogalea.substack.com
November 24, 2025 at 1:38 PM
Who speaks for health? • When communities do not agree with us in the age of MAHA
Who speaks for health?
When communities do not agree with us in the age of MAHA
sandrogalea.substack.com
November 24, 2025 at 1:38 PM
We should talk • On doing the difficult work of engaging in conversation
We should talk
On doing the difficult work of engaging in conversation
sandrogalea.substack.com
November 24, 2025 at 1:38 PM
On changing when we should change • Part 1 of 2. The importance of reimagining public health in an uneasy time
On changing when we should change
Part 1 of 2. The importance of reimagining public health in an uneasy time
sandrogalea.substack.com
November 24, 2025 at 1:38 PM
How data can support a values-based argument for health • On the consequential, rigorous, and inquisitive science that should support a vision of a healthier world.
How data can support a values-based argument for health
On the consequential, rigorous, and inquisitive science that should support a vision of a healthier world.
sandrogalea.substack.com
November 24, 2025 at 1:38 PM
The Social Life of Ideas • Ideas about ideas, at a time when ideas feel endangered
The Social Life of Ideas
Ideas about ideas, at a time when ideas feel endangered
sandrogalea.substack.com
November 24, 2025 at 1:38 PM
On the complexity of moral argument • Understanding that good people, for good reasons, hold on to ideas we strongly disagree with
On the complexity of moral argument
Understanding that good people, for good reasons, hold on to ideas we strongly disagree with
sandrogalea.substack.com
November 24, 2025 at 1:38 PM
Building health on shared values • Why a focus on enduring principles should underlie all efforts in health
Building health on shared values
Why a focus on enduring principles should underlie all efforts in health
sandrogalea.substack.com
November 24, 2025 at 1:38 PM
Clarifying misunderstandings about population health • A science refresher to help move us past the health mistakes of the moment
Clarifying misunderstandings about population health
A science refresher to help move us past the health mistakes of the moment
sandrogalea.substack.com
November 24, 2025 at 1:38 PM
On keeping the faith • Leaning into hope at the start of a new school year
On keeping the faith
Leaning into hope at the start of a new school year
sandrogalea.substack.com
November 24, 2025 at 1:38 PM
What happens then? • The practical consequences of losing a country’s commitment to science
What happens then?
The practical consequences of losing a country’s commitment to science
sandrogalea.substack.com
November 24, 2025 at 1:38 PM
It bears conversation • On the value of engaging with difficult ideas from disagreeable sources
It bears conversation
On the value of engaging with difficult ideas from disagreeable sources
sandrogalea.substack.com
November 24, 2025 at 1:38 PM
In praise of diligence • On showing up when there is much to be done
In praise of diligence
On showing up when there is much to be done
sandrogalea.substack.com
November 24, 2025 at 1:38 PM
The drawing the line problem • How can science reach consensus and take action in a time of doubt?
The drawing the line problem
How can science reach consensus and take action in a time of doubt?
sandrogalea.substack.com
November 24, 2025 at 1:39 PM
What we really lose if we do not fund discovery • Science funding and the national imagination
What we really lose if we do not fund discovery
Science funding and the national imagination
sandrogalea.substack.com
November 24, 2025 at 1:39 PM
Equanimity in a fraught moment • Is staying calm in challenging times complicity?
Equanimity in a fraught moment
Is staying calm in challenging times complicity?
sandrogalea.substack.com
November 24, 2025 at 1:39 PM
The underrated value of sincerity • Reflections on a quiet revolutionary value
The underrated value of sincerity
Reflections on a quiet revolutionary value
sandrogalea.substack.com
November 24, 2025 at 1:39 PM