What really shapes a person's health—and why does medical care account for only a small piece of the outcome? In this episode of Rural Builds, host Rob Birdman Hephner sits down at the Federal Reserve Bank of New York with Aaqil Khan, a rural systems builder working at the intersection of technology, healthcare, and community change.

Khan shares his work with Collectively, an AI-driven company focused on improving financial health literacy and patient billing experiences, alongside his passion project, Connected Communities—a three-county coalition in Northwest Illinois addressing substance use disorder, food insecurity, and housing stability. Together, they break down what "social determinants of health" really mean in everyday terms: housing, food access, transportation, education, and the ongoing stress caused by instability.

The conversation traces how efforts to address substance use disorder led upstream to deeper root causes like childhood trauma, adverse childhood experiences (ACEs), and lack of social connection. Khan explains how recovery housing, sober living homes, community fridges, and recovery-friendly workplaces are all connected—and why housing, transportation, and employment form the foundation for lasting recovery and economic stability.

This episode also takes on stigma head-on, emphasizing why language matters, how data helps communities understand impact, and why building trust among local stakeholders is the hardest—and most important—work. It's a grounded, practical conversation about empathy, systems thinking, and how rural communities can build healthier futures by seeing the whole person, not just the problem.

RURAL BUILDS is brought to you by Birdman Media™ and supported by the following sponsors;

Please visit their sites for more information and support them when you can.

Sitgreaves Community Development Corporation

Mountain Retreat Realty Experts

How do communities actually solve complex problems like poverty, housing instability, and workforce readiness—without wasting money on studies that sit on a shelf? In this episode of Rural Builds, host Rob Birdman Hephner sits down with Richard Taylor, co-founder of eTransX, to unpack a platform designed to help communities work smarter, not harder.

Recorded at the Federal Reserve Bank of New York, the conversation explores why most communities struggle to coordinate services across nonprofits, churches, healthcare providers, and local government—and how eTransX was built to fix that. Taylor explains how the Well-Being Care Community Platform connects people, households, and service providers in one shared, person-centered system that addresses housing, food access, transportation, jobs, and other social drivers of health.

The episode explains why this kind of data sharing hasn't happened sooner, how privacy and consent are protected, and what it really costs a town or region to implement a system like this. More importantly, it shows how real-time, community-owned data can replace expensive studies, reduce duplication of effort, and help leaders make better decisions that actually improve lives.

This is a practical, plain-spoken conversation about technology as a tool—not the solution—to help rural and local communities move the needle on poverty, health, and economic development.

RURAL BUILDS is brought to you by Birdman Media™ and supported by the following sponsors;

Please visit their sites for more information and support them when you can.

Sitgreaves Community Development Corporation

Mountain Retreat Realty Experts

What does it really take to help families move out of poverty—especially in places that don't have big cities, big budgets, or big spotlights? In this episode of Rural Builds, host Rob Birdman Hephner sits down with Mark Farley of Empower Upper Cumberland to talk about what's working in rural Middle Tennessee—and why it matters.

Recorded on location at the Federal Reserve Bank of New York, this conversation dives into how a 14-county, fully rural region serving more than 370,000 people is taking a proactive approach to poverty alleviation. Farley explains how Empower Upper Cumberland secured $25 million in state funding to pilot innovative programs aimed at helping 800 families—most of them single mothers—reach long-term economic stability.

A major focus of the episode is the "benefit cliff," a policy challenge that often leaves families worse off when they earn just a little more income. Farley shares how his team is working around these barriers while also pushing for smarter policy, all while helping families build skills, confidence, and a path toward better-paying work.

The results are powerful: early program graduates have increased household income by millions of dollars, with some families moving from poverty to six-figure earnings. More than statistics, this episode is about restoring belief, overcoming past trauma, and proving that when rural communities invest in people, real change is possible.

RURAL BUILDS is brought to you by Birdman Media™ and supported by the following sponsors;

Please visit their sites for more information and support them when you can.

Sitgreaves Community Development Corporation

Mountain Retreat Realty Experts