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nathan:2027.0815v4 [med.global-health]  27 Sep 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; 4.10 weighted GPA, 1510 SAT; 6 APs completed, 5 more in progress; AP Scholar with Distinction; College Board National Recognition Program Award
Skills:
Biomedical research · Drosophila handling & permeability assays · computer vision & Python · statistics · scientific writing · patient intake, vitals & ECG support · CPR instruction · nonprofit leadership · Spanish (4 years)
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] 13 Aug 2026, Ghana mission   [v4] Sun, 27 Sep 2026, senior year, 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: 4.10 weighted GPA (3.69 unweighted), 1510 SAT (single sitting). Six AP courses completed (Chemistry, English Language, Psychology, U.S. History, Computer Science Principles, and Statistics through UC Scout, 2026), with AP Biology, AP Calculus AB, AP English Literature, AP Microeconomics, AP Cybersecurity, and Honors Physics in progress for senior year (2026–27). Honors: AP Scholar with Distinction and the National Recognition Program Award, both from the College Board; Highest Honors in 10th and 11th grade and High Honors in 9th on the Valley Christian honor roll. Intended major: neuroscience / pre-med.

College and online coursework: Introduction to Statistics at Santa Clara University (college credit, 2025), which supplied the inferential toolkit (z/t-tests, chi-square, regression) used to analyze FutureBright's pre/post camp surveys; Introductory Human Physiology, Duke University via Coursera (2024); and Python for Data Science & AI, IBM via Coursera (two certificates, 2024), the foundation for the computer-vision work in Section 3.3.

Research training: Polygence Research Mentorship Program (2024–2026, under mentor Mikayla Wilson); product research internship at reThink64 Bionetworks, a biotech startup (2025); a full-time two-week Impact Internship in the HSIP health-science program (2024), covering research, health-dataset analysis, and a final presentation to mentors; the Stanford Neurosciences Journal Club (2023–24), where I presented a key paper's methods and findings on mouse-model gender neuroscience; and the Medicine Pathway at UC Berkeley Summer Springboard (2023), a two-week residential program of physician lectures, med-school pathway seminars, and clinical case discussions, where I earned 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. Written under mentor Mikayla Wilson through Polygence (2024–2026), the abstract was selected and published for the International Research Conference for Children and the Polygence Symposium; the full manuscript is under journal review [1].

3.2  Experimental disease model

In my school's Scientific Research Course (2025–2026), I designed and ran a semester of experiments testing ceramide-deficient Drosophila melanogaster as a model for eczema's skin-barrier dysfunction, roughly 80 hours of work. In a Toluidine Blue permeability assay, ~70% of mutant flies stained versus ~10% of wild-type: a sevenfold difference. The poster, "Drosophila melanogaster as an Analogous Model for Ceramide-Related Eczema: A Preliminary Study," was defended before a specialist judging panel at the International Research Conference for Children, where I was one of five students selected for the Best Poster Award (2026); the abstract was published, and the work was also presented at the Synopsys Science & Technology Championship [2].

3.3  Applied AI: Eczema Vision

Eczema Vision (2026–present) is an open-source computer-vision model that classifies eczema from skin images, built under 1:1 engineering mentorship with Jeffrey Moon through Curious Cardinals: image preprocessing, labeling, training, and evaluation. The code is published open-source on GitHub, and the model runs in the browser on its project page, where anyone can try it on a photo without the image ever leaving their device [3].

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 it 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 family egg farm the author runs: 40 chickens and roughly 8 hours a week year-round of flock care, egg sales, and tractor and land maintenance, with proceeds directed to FutureBright's camps. Attendee knowledge at health camps is measured with pre/post surveys and the findings published, outcomes, not anecdotes.

5Timeline

6Beyond Medicine

Clinical and community service at home in the Bay Area: as a junior board member and certified CPR instructor with the Kyle J. Taylor Foundation (2023–present), I staff free youth heart screenings at Santa Clara County high schools (check-in, vitals, and ECG stations) and organize and teach CPR training events. Since 2023 I have helped run the monthly Serving the Needy meal service at St. Thomas Syro-Malabar Catholic Church in Fremont, from setup to serving the main entrée; I volunteered in the St. Francis of Assisi parish gift shop (2023–24), served as a summer ambassador for the San José Public Library (50 hours), and this year I am a peer mentor in Valley Christian's Service Learning program. I have studied Spanish for four years. 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.

A final note on evidence. The record above is not self-reported alone; the institutions involved documented it themselves. Appendix A reproduces the primary documents: St. Joseph Catholic Hospital's post-event report on the Ghana screening, and local press coverage of the Kerala cardiology camp [5, 6].

Acknowledgements. St. Joseph Catholic Hospital (Abira); Mission Hospital Pullur; the volunteer physicians of Kumasi, Accra, and Kerala; the Kyle J. Taylor Foundation; my mentors Mikayla Wilson (Polygence) and Jeffrey Moon (Curious Cardinals); and my co-founders and family.

Appendix A: Primary Documentation

Page 1 of St. Joseph Catholic Hospital's post-event memo: Partnership for Health: Mega Screening Event a Resounding Success in Abira Page 2 of the hospital's post-event memo, listing the specialized services delivered and acknowledging FutureBright Malayalam newspaper coverage of the FutureBright cardiology health camp in Kerala
Figure A1: (left, center) "Partnership for Health: St. Joseph Catholic Hospital's Mega Screening Event a Resounding Success in Abira!", the hospital's own post-event report on the 17 July 2026 screening, recording multi-disciplinary care for "hundreds of families across Abira and its neighbouring towns" and crediting its "global partners from the Future Bright.Org Mission" [6]. (right) 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 published, International Research Conference for Children and Polygence Symposium; manuscript under journal review. [PDF]
  2. Francis, N. (2026). Drosophila melanogaster as an analogous model for ceramide-related eczema: a preliminary study. Abstract published; poster, International Research Conference for Children (Best Poster Award); Synopsys Science & Technology Championship. [PDF]
  3. Francis, N. (2026). Eczema Vision: open-source, in-browser eczema detection from skin images. Project page & live demo: nathanfrancis.org/vision; code (MIT): [GitHub]
  4. FutureBright Inc. (2023–2026). Published outcomes, surveys & financials. [thefuturebright.org]
  5. Malayalam press coverage, FutureBright cardiology camp, Kerala. Local newspaper, 2024.
  6. St. Joseph Catholic Hospital, Abira (2026). Partnership for health: mega screening event a resounding success in Abira. Post-event report, July 2026, issued by the hospital, crediting FutureBright as international partner. [context]