Your responses are detailed and thorough. I appreciate how you've connected the dots. The health system as a social determinant is an unconventional way to present the system, as usually we write about access to care, which you also do. As you probably know, access to care is usually a phrase that primarily addresses insurance, cost, and possibly transportation.I like considering the system as a determinant and also that you pointed out how the spatial organization of system can make it more or less accessible.