This chapter looks at the issue of advances in public health and efforts with collaboration from the perspective of a primary care physician at a community health center. It specifically looks at how much has evolved in a ten-year span. Thanks to increasing payer commitment to value-based care, the concept of moving forwards to address social determinants of health appears to be entering the mainstream in US health care. If the last decade was about health care's awakening to the realities of social determinants of health and why they matter, the next ten years will hopefully focus on how to address them as clinicians, as organizations, and as partners to the civic, public health, and social sector peers.