As an emergency physician, I’ve treated New Yorkers in their most vulnerable moments — and too often, I’ve seen patients come to the ER not because they had a medical emergency, but because they had nowhere else to go. What I saw wasn’t just sickness — it was the failure of our systems: housing, mental health, transportation, food access, and the broader safety net.
We’re already wasting billions reacting to preventable crises while overburdening a healthcare system that’s already stretched to its breaking point. It doesn’t have to be this way.

Under my leadership, the Borough President’s Office and its statutory authority to allocate funding for capital projects and programming in their borough will help shift our city from emergency response to proactive, community-based care — by bringing health services directly to New Yorkers, block by block, neighborhood by neighborhood.

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My Vision: Community Health Hubs Across Manhattan

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The NYC Charter gives Borough Presidents the power to fund capital projects and neighborhood programs. I’ll use that authority to build a borough-wide infrastructure for preventative and urgent care — starting with:

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A Community Health Hub in Every Manhattan Neighborhood

There are 52 neighborhoods in Manhattan. My goal is to establish mobile health hubs — modeled after the medical tents I’ve led at the NYC Marathon — in every neighborhood, prioritizing the communities most at risk.

These hubs will provide walk-up services for preventative care, mental health screenings, follow-up care, and resource navigation — right where people live, work, and commute. We’ll reduce unnecessary ER visits, improve outcomes, and save the city billions in health care waste.

And we won’t stop there.

With the billions saved, we’ll also invest in and build out borough-wide community paramedicine programs and home-based urgent care — an evidence-backed approach that already works in cities like Houston, San Diego, and Pittsburgh. With local government support, trained paramedics and allied health professionals can make house calls for non-life-threatening conditions, manage chronic illness flare-ups, conduct post-hospital follow-ups, and keep people healthier and safer in their homes — without a $5,000 ambulance ride or a 6-hour ER wait.

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Partnering for Reproductive & Gender-Affirming Health

Healthcare isn’t just about emergencies — it’s about freedom and dignity. While politicians in Washington attack reproductive rights, Manhattan must be a sanctuary for equitable care.

As Borough President, I’ll work to connect urgent care providers, community-based organizations, and trusted partners like Planned Parenthood to expand access to reproductive and gender-affirming health services — especially in underserved and medically disenfranchised neighborhoods.

No one should have to cross a bridge or a borough just to receive essential care. Not in Manhattan. Not on my watch.​