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Expert Perspective

Major Commitments Require Vision and Staying Power

Published

November 13th, 2025

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In the early 2000s, leading health experts sounded the alarm about skyrocketing rates of obesity among America’s children. Research showed the long-term health impacts of obesity, but there was no widespread agreement about what might work to prevent it or reduce rates overall.  

Alongside our partners, RWJF saw an urgent need for change. In 2007, this urgency led to our initial $500 million dollar pledge to reverse the childhood obesity epidemic—a deliberately large commitment. It was clear that all sectors of society—government, businesses, philanthropy, and nonprofits—would need to be engaged, even if the exact roadmap for each was still unfolding.  

By investing in a way that demonstrated our long-term commitment, we aimed to show our partners we would work alongside them as they made their own commitments too. So many who began this work in the early 2000s are still working to make lasting change. Their perseverance has made a difference for families and communities nationwide. 

“To make lasting change, we need to start early. If we focus on environmental and policy changes, those small steps (a sidewalk, bike lane, or playground) can ripple into lasting, long-term systems change.”

“Changing policies, systems, and environments is deliberate work. It needs to be consistently funded and evaluated to make continuous, swift, evidence-informed improvements.”

“I appreciate the patient investment. Social change is messy and takes a long time. Not everyone is willing to stay in it for the long haul!”

“We must stay strong and stay focused. As we address issues that are driving poor health outcomes in our communities, we will encounter opposition for a variety of reasons, and we will also uncover challenges and opportunities that we cannot yet see. Our work is ultimately focused not just on childhood obesity but on improving the health and well-being of children and families. Having a dedicated consortium of organizations and funders concentrating on this work will be critical to overcoming opposition and challenges as they emerge.”

“My most inspiring memory is seeing how RWJF leveraged its experience, reputation, networks, and funding power to create a new field of research in the form of what is now the widely celebrated Healthy Eating Research (HER) program. HER was designed to complement the longstanding field of individually focused nutrition and weight counseling research by demonstrating how obesity-promoting environments must also be a critical focus of obesity prevention research.”

“When this work started, little was known about the most effective policies and environmental factors shaping children’s eating habits and weight. We’ve filled this gap, shifting the conversation from individual responsibility to systemic, policy-driven solutions. That shift has been essential and opens up new pathways for us to explore as well.” 

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