Meet Dr. Rebecca Gaglia
A Visionary Leader
Dr. Rebecca Gaglia is committed to improving lives through her independent presidential campaign.
Her values guide her approach to political leadership, focusing on community engagement and respect.
Join her as her journey towards a brighter future for our country begins and grows into a movement for peace and prosperity for our us all.
As such the website and all the details that will eventually be entrusted herein, are still largely under construction. We don't currently have fundraising set-up, but we are working on it! Please feel free to reach out with questions or support in the months to come. There will be growth and change in this website as with our campaign. We are a free people, Dr. Gaglia believes in that for all of us, and she hopes that we will all be able to see through the struggles we've been dealing with and find the hope and the fire for our freedom and love for eachother, that she passionately believes will lift us up as a nation and make our country truly America the Beautiful.
Economic Policy
Economic influences on population health in the United States: Toward policymaking driven by data and evidence
The United States is in the midst of a 40-year-long population health crisis. Life expectancy has declined since 2014, an unprecedented event that has followed on the heels of a decades-long slowing in secular gains in longevity in the US relative to peer countries. These adverse population health trends appear to be primarily driven by worsening health among working-age individuals of lower socioeconomic status.
A growing body of research suggests that worsening economic outcomes—e.g., fading employment opportunities and increasing economic insecurity—may be a primary causal driver of adverse health trends among low-income and less-educated working-age US residents.
Evidence-based public policies to address widening gaps in economic and health outcomes include expanding early childhood health and educational investments, increasing the scope of programs that assist displaced workers in developing new skills and finding new jobs, reinforcing the social safety net, and improving the reach of public health efforts to help moderate the health consequences of adverse economic shocks.
Policymakers will also need to consider and rigorously evaluate new approaches, such as basic income grants, investments to direct automation toward complementing rather than replacing the work force, or job guarantee programs.
The size and scope of the population health challenges that have arisen with the changing economy highlight the importance of new data sources and evidence-based engagement by policymakers.
Venkataramani, A. S., O'Brien, R., Whitehorn, G. L., & Tsai, A. C. (2020). Economic influences on population health in the United States: Toward policymaking driven by data and evidence. PLoS medicine, 17(9), e1003319. https://doi.org/10.1371/journal.pmed.1003319
The 2024 report of the Lancet Countdown on health and climate change: facing record-breaking threats from delayed action
Engagement by governments and political leaders is central to delivering climate change action that protects human health.347,348 This set of indicators monitors political engagement with health and climate change through national leaders and international organisations.
International organisations (eg, UN agencies, international and regional financial institutions, and supranational bodies such as the EU and African Union) are increasingly at the forefront of action on climate change.355–357 This indicator tracks engagement on the health co-benefits of climate mitigation on the official X (formerly Twitter) accounts of international organisations, which remains a key platform for their public communication.
Corporate sector engagement with the health-climate change nexus has seen an upward trend since 2016, with the largest increase in engagement occurring over the past year. The proportion of companies mentioning health and climate change in their Communication of Progress reports grew from 559 (16%) of 3573 companies in 2016 to 2314 (38%) of 6089 companies in 2022 and 2744 (60%) of 4567 companies in 2023. A higher proportion of companies continued to engage with health (93% in 2023) and climate change (89% in 2023) separately.
With current policies and actions putting the world on track to 2·7°C of heating by 2100 if maintained,11 limits to adaptation are looming closer (panel 5). Transformative, sustained mitigation efforts would not only avoid the most catastrophic impacts of climate change but also the multiple health harms of fossil fuels (panel 6). The transition to clean energy sources could prevent at least 2·3 million deaths annually through reduced solid fuel-derived indoor air pollution and 3.3 million through reduced fossil fuel-derived and biomass-derived outdoor air pollution (indicators 3.2.1 and 3.2.2). Mitigation in the agricultural sector could additionally save 11·2 million lives annually through healthier, more plant-based diets (indicator 3.3.2), and a people-centred transformation could enable healthier cities and lifestyles.
However, the world is increasingly off-track from meeting the goals of the Paris Agreement and, despite some progress in adoption of renewable energy, many key indicators point to a world moving in the wrong direction, with many showing a reversal of progress in the last year of data (figure 16). The carbon intensity of the energy system has remained practically unchanged, and energy-related emissions reached an all-time high in 2023 (indicator 3.1.1), with agricultural emissions growing by 2·8% since 2016. Within the health-care sector itself, emissions increased by 10% between 2020 and 2021 (indicator 3.5).
Delays in implementing the required transformative actions mean that most countries are grossly unprepared for a healthy, net zero greenhouse gas emission future, with people in low and medium HDI countries most at risk (indicator 4.2.4). An entrenched fossil fuel dependence increasingly threatens national economies, with the losses associated with current coal-fired power generation sector assets that are expected to be stranded amounting to a cumulative total of $164·5 billion between 2025 and 2034 (indicator 4.2.3). Meanwhile, the most underserved countries are lagging in the adoption of clean, renewable energy and remain exposed to the harms of energy poverty (indicators 3.1.1 and 3.1.2).
Governments and corporations around the world are exacerbating the risks. Fuelled by record profits, oil and gas giants have expanded their production plans, and, as of March, 2024, were on track to exceed their emissions compatible with 1·5°C by 189% in 2040, 16 percentage points above the year before (indicator 4.2.2). In addition, as energy prices soared and countries’ energy systems remained reliant on fossil fuels in 2022, governments allocated a record-breaking $1·4 trillion to net fossil fuel subsidies (indicator 4.3.3), dwarfing any financial commitments in support of climate action made at COP28.
Against this concerning background, an increased focus on health within UNFCCC negotiations in COP28 and the prioritisation of climate change within the WHO’s GPW 14 mark important progress. The engagement of individuals, corporations, scientists, and international organisations with climate change and health is growing (indicators 5.2, 5.3.1, 5.3.2, 5.4.2, and 5.5), raising hopes that a healthy, prosperous future could still be within reach.
However, avoiding a catastrophic increase in death, disease, and destruction will require urgent, decisive, and health-focused actions, exceeding the ambition of international commitments. Entering a new phase of activities, the Lancet Countdown will update its indicator frameworks and increase its efforts to ensure indicators are relevant to inform decision making. Such efforts will include monitoring progress towards the delivery and outcomes of those actions that have been shown to have the potential for delivering a prosperous, healthy future for all.
Romanello, M., Walawender, M., Hsu, S. C., Moskeland, A., Palmeiro-Silva, Y., Scamman, D., Ali, Z., Ameli, N., Angelova, D., Ayeb-Karlsson, S., Basart, S., Beagley, J., Beggs, P. J., Blanco-Villafuerte, L., Cai, W., Callaghan, M., Campbell-Lendrum, D., Chambers, J. D., Chicmana-Zapata, V., Chu, L., … Costello, A. (2024). The 2024 report of the Lancet Countdown on health and climate change: facing record-breaking threats from delayed action. Lancet (London, England), 404(10465), 1847–1896. https://doi.org/10.1016/S0140-6736(24)01822-1
Climate Stance
Resistant to Reform? Improving U.S. Immigration Policy Through Data, Evidence, and Innovation
Hidden behind this divisive rhetoric—and the sensationalist political and media narratives that shape it—lies a dynamic policy arena filled with new and innovative solutions. These efforts aim to support the success of immigrants in their host communities while helping those communities address labor and demographic challenges. This paper describes several of these initiatives and suggests how they can be subjected to rigorous testing to make meaningful improvements to U.S. immigration policy. Despite substantial evidence pointing to the positive economic and social impacts of migration for sending countries, host communities, and migrants themselves, there is a significant evidence gap on which policies and programs are most effective in optimizing the benefits and mitigating the costs of migration. With the economic contributions of migrants projected to reach $20 trillion by 2050, it is as important as ever to invest in rigorous testing and scaling of the most promising policies, programs, and innovations in ways that have helped transform other policy domains, from economic development to public health. By showing the public that immigration can work, evidence-based solutions can help diffuse the toxic politics surrounding the issue and assure Americans that these policy investments are well spent for the public good.
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