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nathan:2027.0815v3 [med.global-health]  13 Aug 2026

Healthcare Shouldn't Depend on Where You're Born: A Three-Front Approach to Pediatric Health Equity

Nathan Francis

Student Researcher, Pediatric Dermatology · Valley Christian High School, San Jose, CA · Co-Founder & President, FutureBright Inc. (501(c)(3)) · Class of 2027

Abstract. This page reports three years of work toward a career in academic medicine, organized around one problem: access to healthcare for children should not be determined by geography. The research contributions are threefold — a first-author literature review of topical corticosteroid safety in children (abstract published through the IRCC; manuscript under journal review); a ceramide-deficient Drosophila model of eczema demonstrating a 7× skin-barrier permeability difference (Best Poster Award, IRCC); and a publicly available AI model for photographic eczema detection. The clinical questions motivating this work were drawn from the field: through FutureBright Inc., a 501(c)(3) nonprofit the author co-founded at age 15, free health screenings served 400+ patients in one day in Abira, Ghana, and 100+ at a cardiology camp in Kerala, India, with a school for 300 children co-funded in Boassa, Burkina Faso. All results, financials, and survey outcomes are published openly.

Subjects:
Pediatric Dermatology (med.DERM); Global Health (med.GH); Applied Machine Learning (cs.LG); Nonprofit Leadership (org.NPO)
Comments:
4 countries; 400+ patients screened in one day; 6 APs, 4.08 weighted GPA, 1510 SAT
Report no:
FB-2026-08 (FutureBright Inc.)
Cite as:
Francis, N. (2026). Healthcare shouldn't depend on where you're born. nathan:2027.0815
Submission history — From: Nathan Francis  |  [v1] 2023, FutureBright incorporated   [v2] 2025, first publications   [v3] Thu, 13 Aug 2026 — Ghana mission, this version

1Introduction

I'm Nathan — an aspiring physician-scientist from San Jose, California. This page is organized like a preprint because that is how I've learned to work: state the problem, do the work, publish the results, and revise. The problem is that a child's access to basic healthcare still depends overwhelmingly on where they happen to be born. Sections 2–4 document the academic foundation, the research, and the field program built against that problem; Section 5 gives the timeline, and Section 6 covers everything that doesn't fit a CV category but shapes all of it.

2Academic Record

All work reported here runs on top of a full accelerated honors / AP science course load at Valley Christian High School (through junior year): 4.08 weighted GPA, 1510 SAT (single sitting), and 6 AP courses — Biology, Chemistry, Psychology, English Language, US History, and CS Principles. Highest Honors in 10th and 11th grade, High Honors in 9th, and the School Recognition Award in 11th. Intended major: neuroscience / pre-med.

Beyond the school day: AP Biology completed through Johns Hopkins, AP Statistics through UC Scout (concurrent, senior year), and a dual-enrollment college statistics course at Santa Clara University (Young Scholars Program) — the inferential toolkit (z/t-tests, chi-square, regression) used to analyze FutureBright's pre/post camp surveys.

Research training: Polygence Research Program (grades 10–11, year-long mentored research), product research internship at reThink64 Bionetworks (grade 11), UCSC Health Sciences Impact Internship (grade 10), the Stanford Neuroscience Journal Club (grade 9), where I presented a study on gender differences in mouse neuroscience as a freshman, and the UC Berkeley Summer Springboard medical-preparation pathway (grade 9), a two-week residential program with physician lectures and a first CPR certification.

3Research

Eczema affects over 70 million children worldwide, and the long-term safety of its most common treatment is surprisingly under-studied. I approached the gap from three directions.

3.1  Literature review (first author)

"Adverse Effects of Topical Corticosteroid Usage in Children: A Review" synthesizes 20+ clinical sources on long-term topical corticosteroid safety. The abstract was published through the International Research Conference for Children; the full manuscript is under journal review [1].

3.2  Experimental disease model

I designed and ran a ceramide-deficient Drosophila melanogaster model of eczema's broken skin barrier, measuring a 7× staining difference in barrier permeability — roughly 80 hours of research and preparation. The poster, "Drosophila melanogaster as an Analogous Model for Ceramide-Related Eczema: A Preliminary Study," was defended before a specialist judging panel; I was selected as one of five awardees (Best Poster Award, IRCC) and also presented at the Synopsys Science Fair [2].

3.3  Applied AI

Under the mentorship of Jeffrey Moon (Curious Cardinals), I trained a binary-classification model that detects eczema from skin photographs — computer vision, image preprocessing, data labeling, and performance evaluation — publicly available [3], connecting the research back to the screening work FutureBright does in the field.

4The FutureBright Program

"I co-founded FutureBright at 15 because the organization I wanted to join didn't exist — so I built it, funded it, and published every result."— motivation, in one sentence

At 15, I co-founded FutureBright Inc., a registered 501(c)(3) nonprofit, because the organization I wanted to join didn't exist. FutureBright funds and organizes free health camps, donates medical equipment, and builds educational infrastructure — and publishes its results and financials openly. Principal results to date are summarized in Table 1.

Table 1: FutureBright principal outcomes, 2023–2026. All services free of charge at point of care.
InterventionLocationnYear
Community health screening, one dayAbira, Ghana400+2026
4K Heartathon (World Heart Day)Pullur, India500+2023
Cardiology camp (ECG, labs, consults)Kerala, India100+2024
School construction (co-funded), capacityBoassa, Burkina Faso3002026–27
Chemical analyzer donated to rural clinicVallarpadam, Kerala12024
Nathan addressing the community at the Ghana health mission
Figure 1: The author addressing the community at the Ghana Health Mission, Abira Chiefs' Palace, July 2026. Queues formed from 7 AM; volunteer doctors from Kumasi and Accra worked past the planned close so no one was turned away.
Volunteer clinicians screening patients in Abira, Ghana Runners at the 4K Heartathon for World Heart Day
Figure 2: (left) Volunteer clinicians screening patients in Abira, Ghana, with St. Joseph Catholic Hospital, 2026. (right) 500+ runners at the 4K Heartathon with Mission Hospital Pullur, World Heart Day, India, 2023.
The chemical analyzer FutureBright donated to a clinic in Vallarpadam, Kerala Nathan with Sr. Maria Mathew of St. Joseph Catholic Hospital, Abira
Figure 3: (left) The chemical analyzer donated to the clinic at Vallarpadam, Kerala — on-site lab testing for a community that previously traveled hours for it, 2024. (right) The author with Sr. Maria Mathew of St. Joseph Catholic Hospital, partner institution for the Ghana Health Mission, 2026.

Funding statement. Operations are funded in part by the author's farm: 8–12 hours a week year-round, 40 laying hens, with every dollar of egg sales directed to FutureBright's projects. Attendee knowledge at health camps is measured with pre/post surveys and the findings published — outcomes, not anecdotes.

5Timeline

6Beyond Medicine

Weekly clinical and community service at home in San Jose: CPR instructor and vitals documentation at three Kyle J. Taylor Foundation school heart screenings; Serving the Needy ministry at my Syro-Malabar Catholic parish since freshman year; two years at the St. Francis of Assisi parish gift shop; summer ambassador for the San José Public Library. My family's story begins in Kerala, India — which is why FutureBright's first health camps ran there. And the farm (Section 4, Funding statement) remains the least glamorous work I do, and the most reliable.

7Conclusion & Future Work

Medical school is the long-term goal — the ability to treat the patients I can currently only organize for. Near-term: growing FutureBright's screening model, opening the Boassa school, and pushing the eczema research toward journal publication. Comments welcome; this page is versioned and will be revised.

Acknowledgements. St. Joseph Catholic Hospital (Abira); Mission Hospital Pullur; the volunteer physicians of Kumasi, Accra, and Kerala; the Kyle J. Taylor Foundation; Polygence and Curious Cardinals mentors; and my co-founders and family.
Malayalam newspaper coverage of the FutureBright cardiology health camp in Kerala
Figure 4: Malayalam-language press coverage of the FutureBright cardiology health camp, Kerala, 2024 [5].

References

  1. Francis, N. (2025). Adverse effects of topical corticosteroid usage in children: a review. Abstract publ. International Research Conference for Children; manuscript under journal review. [PDF]
  2. Francis, N. (2025). Drosophila melanogaster as an analogous model for ceramide-related eczema: a preliminary study. Poster, IRCC — Best Poster Award; Synopsys Science Fair. [PDF]
  3. Francis, N. (2026). Photographic eczema detection model. Publicly available. [link]
  4. FutureBright Inc. (2023–2026). Published outcomes, surveys & financials. [thefuturebright.org]
  5. Malayalam press coverage, FutureBright cardiology camp, Kerala. Local newspaper, 2024.