The United States currently provides a health care system that is neither efficient nor equitable. Despite outspending the world on health care, over three-fourths of developed countries produce better health outcomes. In response to these challenges the "Ecological School of Thought" has documented the impact that social, economic, and environmental circumstances play in health outcomes. This work utilized Structural Equation Modeling to assess the antecedents of sentinel health events in 309 United States counties. The adversity associated with socio-economic disadvantage, social...