David Sanders, an internationally renowned paediatrician and public health researcher, has spent fifty years involved in struggles for health in Zimbabwe, the UK and South Africa. David has always been passionate about participatory socialist democracy as a way to improve health and reduce inequality. In this wide-ranging one hour interview he offers analysis of the causes of the causes of inequality and poor health, and guidance to young social and health activists about how to tackle contemporary challenges for health, the environment, gender and inequality.