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HSREP Roundtables · three open questions
Open · no closing date Three questions · none with a closing date
When  Open now · no closing date Format  In writing · no meeting to attend Who  Anyone who works in or around care Your name  Shown with your answer · or hidden, your choice on the form

Where does preventive care break down between recommended and completed in your setting?

Colorectal screening reaches 44.89% at the average community health center and 48.74% in Michigan. The services exist and are paid for. This question asks where, in your own setting, the distance between recommended and completed actually opens up. Two further questions are open beside it.

How it works: answer in writing, in the form on this page, in about five minutes. Your name and workplace appear with your answer unless you choose otherwise on the form. A moderator reads everything before anything is published.

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Open questions

Three ways in. Answer the one you can answer from your own work.

Each question is anchored to published evidence and open with no closing date. None of them asks you to have data you would have to go and find.
Roundtable № 01

When a health message has to reach a particular group, what actually works?

Health educators, community health workers, communications leads, clinicians and programme officers — anyone who has tried to get information to a specific group.

Anchored to Season 1: the same piece, published the same day in the same words, routed to opposite audiences on Facebook and LinkedIn.

No responses yetAnswer this →

Prefer email? Send three sentences and say whether to publish them under your name. It goes on the record the same way.

Roundtable № 03

What does the cost of care do to the people you serve that never shows up in the record?

Clinicians, social workers, financial counsellors, health educators and public health practitioners who see the consequences before the data does.

Anchored to Season 1, Chapter 2: 41% of U.S. adults carry medical or dental debt, and 64% of those with debt delayed or skipped care they needed (KFF, 2022).

No responses yetAnswer this →

Prefer email? Send three sentences and say whether to publish them under your name. It goes on the record the same way.

Where this question sits

Roundtable № 02 puts a published argument back to practitioners.

The question is the fourth step of a thread from a published argument to a proposed pilot.

  1. Argued

    When we ignore public health prevention, we pay the price

    The Eastern Echo · 14 Nov 2025

  2. Measured

    Season 1: nine pieces, two countries

    57,274 impressions (post appearances, not people), $0 paid · 21 Feb – 12 Apr 2026

  3. Proposed

    Prevention Adoption Initiative

    Published July 2026 with a working worklist demo · in development

  4. Asked practitioners this page

    Roundtable № 02: where does preventive care break down?

    Open since 9 Sep 2026 · moderated, on the record

  5. Then

    The same routine, five other completion gaps

    Roadmap, or a clinic’s first choice · blood pressure, diabetic eye exam, kidney test, two follow-ups

Every step is dated and links to the record. The initiative is proposed, not running: an HSREP initiative in development.How HSREP works →
Add your response

Answer here. About five minutes.

The form asks which question you are answering. Write № 01 № 02 or № 03 in that field and your response is filed against that question. Every response is read before anything appears on the record, and nothing is published without your consent.

Loading the response form. If it does not appear, your network may be blocking it — the link below opens the same form.

If the form will not load, open it in a new tab or write to contact@hsraep.org.

§ 00 · The case

Same argument. Opposite audiences.

Why this roundtable exists, the Season 1 finding it puts to professionals, so you can weigh in knowing the evidence.

In Season 1, one health argument was published the same day, in the same words, across platforms. The platform, not the content, decided who heard it.

→Platform, not content, set the audience. The algorithm routed identical evidence to opposite groups.
→It showed up in both countries, across 57,274 impressions at $0 ad spend.
→So publishing “everywhere” isn’t a strategy. It’s a coin flip on who your evidence reaches.
Facebook
→ Readers in Bangladesh
LinkedIn
→ 61% health-domain industries (best post)
57,274 impressions · 2 countries · $0 ad spend
If where you publish quietly sorts who hears public-health evidence, what is the professional responsibility: publish well and accept the sorting, or design for it? That is what the prompts below ask.
§ 01 · The guiding questions

Three prompts. Your name on the record.

Two defensible positions, find where you stand
Publish it well, and let it find people

Get the evidence right, put it where you can, and trust the people who need it to find it. Tailoring for each channel risks bending the message to fit the medium, and a larger audience is still a larger audience.

Design for how it travels

If where you publish decides who hears you, publishing blindly is a coin flip. Match the channel to the people the evidence is meant to reach, a policy argument belongs where policymakers already are, and treat distribution as part of the work rather than an afterthought.

Most professionals hold some of both. The three prompts below ask which way your own experience pulls you. Answer any one of them.

Q1
What have you actually done? Think of one time you needed information to reach a specific group. What did you do, and did it land?
Q2
What have you stopped doing? What did you try that looked reasonable and did not reach the people it was for?
Q3
Where is the risk? If we design around how a channel behaves, what do we risk bending: the message, the evidence, or who gets left out?
What readers already said · Season 1

Public health should be managed with the same discipline as business strategy, not because profit is the goal, but because results matter. Sustainable systems are built on evidence, not assumptions.

Antor Rafi, on “Increasing public health investment must be a top priority”

You clearly highlighted the real challenges in our healthcare system, the financial burden on ordinary people and the need for stronger public investment. Healthcare is not just a service, but a fundamental right and a national responsibility.

Md Sanowar Hossain, on “Increasing public health investment must be a top priority”

Connecting economic growth with national health has always been the missing piece people often forget to address.

Pritam Kumar Das, on “Increasing public health investment must be a top priority”

Real reader responses from Season 1 comment threads, lightly trimmed for length (wording unchanged) and shared with permission, the kind of professional perspective the Roundtable invites.

You don’t need to be a known name. A frontline practitioner’s, an educator’s, or a program officer’s vantage point is exactly what the record is for, one real observation from your setting counts for more here than any title.

§ 02 · How it works

Low friction to join. High standard for the record.

Any time
Respond

Answer with your real name and affiliation through one short form. A named moderator curates.

Once enough
Synthesis

Once the question has drawn enough responses, they are reviewed and a single published synthesis names consented contributors and the through-line.

After
The record

The question, the synthesis, and any resulting advocacy brief become a permanent, citable page.

§ 03 · Synthesis & record

The published record.

1 on the record
Roundtable № 02

Where does preventive care break down between recommended and completed in your setting?

Md Shafaat Ali ChoyonFounder, HSREP; moderator of this roundtable21 October 2026

I am asking this because I have watched the break happen, though not in a U.S. clinic. At Praava Health in Dhaka I ran the diagnostics side of a primary-care network, and for years the pattern was the same: people started a test and did not finish it.

Three things did most of the damage. A price surprise at the next step, after the first test had been cheap. A positive result that arrived with no appointment attached, so the urgency never landed. And a second visit that was hard to make, because of distance, or a day off work that nobody could spare.

That is one person's experience of one system, not a finding. I expect the U.S. version is different in its details and the same in its shape, and that is what I want to learn from you. Where, in your setting, does the person stop?

Moderator’s opening responsehsraep.org/roundtable.html#rt-02-r-001

Questions are open and still without responses: Roundtable № 01, Roundtable № 03.

Roundtable № 01 first ran as a fourteen-day window from 11 to 25 August 2026 and closed without responses. Its question was reframed on 9 September: the original wording asked professionals to report on platform analytics most of them have no reason to have seen. The windows have been removed rather than the questions.

Add your response →

Contributors and responses are published only when they are real, consented and attributable. Nothing here is estimated, and nothing is filled in to look fuller than it is.

Frequently asked

The roundtable, in plain answers.

How HSREP roundtables work, and what it means to take part.
Who can take part in an HSREP Roundtable?
Any qualified professional. HSREP asks for your real name and affiliation on the form so the moderator knows who is writing; whether your name appears in public is your choice on the same form. Participation is low-friction, but the bar for what enters the permanent published record is high.
Do I need an account to participate?
No account. You fill in one short form with your name, affiliation and email. HSREP reads every response before anything is published and may email you to confirm it is yours; nothing is published automatically.
Is the discussion public and on the record?
You choose on the form: published under your name, published without your name, or kept private and read only by the moderator. Cleared responses appear on this page, and a synthesis names the contributors who agreed to be named. It is a structured, moderated professional exchange, not an open forum.
How long does a roundtable run?
Three questions are open at once, each with no closing date, so you can answer the one your own work speaks to. Roundtable No. 1's first window ran 11-25 August 2026 and closed without responses; its question was reframed on 9 September 2026 because the original wording asked for platform analytics most professionals have no reason to have seen.