Leaders increasingly say that health equity is a priority for their organization, but these words don’t always translate into meaningful progress on reducing disparities.

We interviewed dozens of health system leaders about the barriers they face in making health equity an organizational priority, on par with clinical quality and financial solvency. Achieving health equity is a bold, complex, long-term goal, but not all barriers are as insurmountable as they seem. Don’t let these often-cited excuses hinder your organization’s efforts.

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