The co-ops community includes many low-income people, migrants and refugees, and Michael says it faces some specific and severe health problems. Recurring issues are a high degree of chronic illness, substance abuse and mental health problems. As a co-operative we try to respond by involving our members in healthy activity. The staff has arranged an obesity health and exercise program. Theres also a walking group for heart patients. Several of the doctors have language skills that make them more approachable to recent migrants. Our doctors seem to like the idea of being part of a membership-owned practice. There’s a great spirit among the staff.