Data before and during the pandemic indicates Virginia's public health system needs reform. This article suggests that reform requires policy change, and it introduces the VPHA forum as a place to examine current policies and explore new ideas. Finally, it encourages policymakers, advocates, and the public to focus on fundamental questions about how public health is financed and delivered in Virginia. Answering these questions is necessary to creating better public health policies - and better health - for all Virginians.



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