think big. start small. act now.” – Phyllis piotrow


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I am a global health professional with more than 30 years of experience working in low-resource settings. Read about my observations, opinions, and experiences here

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I help people make better decisions about resource utilization for public health. Ask me about my decision quality assurance training and tools.

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I have a long and varied personal and professional background. Feel free to read the whole story.



Welcome friend.

I am Joshua, a blogger based in San Francisco, blogging about minimalism and simplicity.

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Minimized simplicity

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Minimized simplicity

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