01/03/2026
Practicing at the clinic is a whole different ballgame, but it’s one all providers need to begin addressing for their patients in reality….
"You're prescribing privilege, not medicine," I told a room full of doctors and health professionals.
They invited me to keynote the Movement is Life Summit about health equity and movement in underserved communities. Expected a clinical talk. Got a mirror.
I couldn't stop thinking about two patients. One from Southwest Atlanta's —where sidewalks disappear and gunshots punctuate evenings. Another drives three hours from rural Georgia because I'm the only Black orthopedic surgeon she trusts within 200 miles.
Both need movement to heal. Neither lives where movement feels safe or possible.
"Your zip code is a stronger predictor of your health than your genetic code"
The room went silent.
How do you prescribe movement to someone whose neighborhood is designed to keep them still?
My Atlanta patient can't walk her block safely. No sidewalks. Just liquor stores and abandoned lots. My rural patient has land but no specialists, no PT, no follow-up care without a half-day journey.
Every time we write "walk 30 minutes daily," we assume sidewalks.
Every time we prescribe swimming, we're assuming pool access.
Every time we say "join a gym," we're assuming disposable income.
We're prescribing privilege.
I shared what orthopedic surgeons rarely discuss:
• Patients from certain zip codes arrive 10 years older physiologically
• Same diagnosis, vastly different outcomes based on address
• Movement prescriptions ignoring environment is medical gaslighting
"We keep prescribing behaviors without addressing barriers," I said.
After 10 years of surgery, I've learned: I can fix joints perfectly, but zip codes determine whether they heal.
One attendee: "You just changed how I'll practice medicine, I've been prescribing privilege my whole career."
That's when it crystallized. My expertise isn't just surgical—it's in translating the intersection of medicine and justice. In making healthcare professionals see what we've been trained to overlook.
Because here's what I realized: We don't need more physicians writing prescriptions. We need physicians writing new narratives. We need doctors who stop treating symptoms in the exam room and start addressing systems on platforms that matter.
The physicians getting invited to keynote aren't the ones with the most degrees. They're the ones brave enough to say what others only whisper in hospital hallways. They're building movements, not just practices.
Because real authority comes from speaking uncomfortable truths. Real influence happens when you stop just prescribing medicine and start prescribing change.
Real change occurs when doctors and healthcare professionals realize that-
Your voice matters Beyond The Clinic.