4 Meds and Eds Themes At the same time, the institutions whose missions are to care for and educate people also hold outsized local political power, possess large sums of capital, hold large percentages of a jurisdiction’s land that is often tax exempt, and place mounting pressure on existing housing while limiting vacant land available for new development. The divide between anchor institutions and the residents of surrounding neighborhoods can run deep, especially when institutions act in opposition to community priorities, or when their more transient populations make little effort to integrate or engage. Within this context, policymakers, executives, academics, and activists are asking: how can anchor institutions participate more effectively and responsibly in place governance? How do universities and healthcare institutions facilitate more productive relationships to improve how decisions are made and who can participate in making them? Distillation Guidebook Co-Lab • 9.18–9.19 2025
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