Brianna Clarke-Schwelm is the Executive Director of the North Carolina Global Health Alliance, a nonprofit organization striving to advance the state as a center of global health. Brianna has spent her career blending her love of rural communities (starting with the one that raised her) with her passion for access to public health as the foundation for a good life - one that includes safety, equity, and opportunity.

Our conversation touches on everything from birth order and sibling dynamics, to the college courses we loved and loathed, to motherhood, sacrifice, and social safety nets. We studied topics like religion and philosophy and politics to better understand how we organize ourselves and serve each other (especially in vulnerable moments), and then we had babies and got them through a global pandemic, so in many ways, every moment of this winding conversation is circling the same question: How do we want to live, and what can we do to get there?

Toward the end, Brianna tells us all about how NC is a center for global health, innovation, medicine and tech, and then she drops some wisdom about translating international experience to state and local contexts. Public servants from all walks, listen to that part twice!