What happens when the problems affecting your patients cannot be solved with a prescription?
Corey Dion Lewis sits down with Dr. Megan Srinivas, physician, Chief Medical Officer at Primary Health Care, and Iowa legislator, to talk about the connection between medicine, policy, housing, and community health.
Dr. Srinivas shares how her experiences caring for patients pushed her toward policymaking. She explains why housing can shape nearly every part of a person’s health, from safety and medication access to transportation, insurance coverage, and the ability to focus on anything beyond immediate survival.
They also discuss the role of nurses, community health workers, case managers, and social workers in extending care beyond a short clinical visit, the challenges created by Medicaid redetermination, and why you do not have to hold elected office to influence policy.
The conversation closes with a reminder that advocacy can start anywhere, including with young people willing to ask one simple question: “What can I do?”
Show Notes
In this episode:
02:40 — Dr. Srinivas’ path through internal medicine, infectious disease, global health, and health equity
04:01 — Why she realized there was only so much she could accomplish with a prescription pad
07:25 — What medicine taught her about listening, disagreement, and meeting people where they are
08:59 — Why “housing is medicine”
10:54 — What clinicians can do when a patient is experiencing housing instability
13:46 — How nurse-led visits and team-based care can strengthen patient trust and understanding
16:08 — Medicaid work requirements, redetermination, and the problem of not having a stable address
18:33 — How Primary Health Care is preparing patients who may be at risk of losing coverage
21:23 — Managing the emotional weight of caring for patients while working to change the system
22:24 — Turning patient experiences into advocacy and policy
23:49 — Why health professionals across disciplines have a role in advocacy
26:19 — The influence young people can have on policy and community change
27:57 — Using social media to push accurate information into the public conversation
29:36 — What Dr. Srinivas is looking forward to at the My City My Health Conference
33:50 — Why difficult moments require more than acknowledging the problem. They require people willing to work together to change it.
Dr. Srinivas describes health as something shaped by far more than what happens inside a clinic. Housing, transportation, food, insurance, safety, and public policy all influence whether someone has the opportunity to be healthy.
She also makes the case that advocacy does not require a title. Testifying, contacting elected officials, sharing your expertise, and raising an issue that others may not see can all influence what happens at the decision-making table.
Connect with Dr. Megan Srinivas
Dr. Srinivas shares that people can connect with her through her legislative email and across Instagram, Facebook, LinkedIn, X, and TikTok.
My City My Health Conference
Dr. Srinivas will join the Housing Is Medicine conversation at the 5th annual My City My Health Conference on November 13, 2026.
Learn more and register at mycity.health.
Move the City FWD is powered by My City My Health.