Dr. Solomon, you mention that the "health care sector accounts for nearly 1/10th of U.S. greenhouse gas emissions and would rank seventh in the quantity of such emissions internationally if it were its own country." It is clear that clinicians need to be spearheading coordinated, forceful efforts to implement reforms at an institution-wide level. However, depending on the institution, politics and profitability often muddle any consistent efforts to achieve sustained reform in terms of cutting greenhouse gas emissions, reducing environmental and air pollution, and working towards carbon neutrality. How can healthcare providers successfully navigate these issues when approaching the institutional leaders/administrators who are responsible for implementing the needed reforms?
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