Translation: I wholeheartedly agree with this article’s analysis of the importance of grassroots movements for truly transforming the healthcare system. It reminds me of an interesting perspective I recently encountered regarding healthcare transformation in Washington, which highlights the crucial role of practical coaching and quality improvement at the local level, far beyond mere legislative reports. The article highlights how organisations such as Qualis Health have focused on the human element of change and reducing health disparities. This seems to be a practical complement to the principles discussed in your article. In your opinion, how can we better integrate this type of field-based approach, focused on equity and transforming practices, into national strategies such as the one proposed by the MAHA Commission to ensure that recommendations do not remain theoretical and have a measurable impact on the health of populations, including children?