The subject of work has surfaced in several other personal and academic discussions within institutional ethnography (that is extremely difficult for me to understand) and, especially, in feminist discourse (Silvia Federici, among others) as it relates to the subject of women’s work in and out of the home. What the authors add is something additional that I have not yet seen: The treating of the chores and school homework of children as work. The authors opening treats children as something rarely see, as human beings with brains, with feelings, with agency. This is powerful. Given the definition of health promotion from, the American Journal of Health Promotion, “to enhance awareness, change behavior, and create environments that support good health practices,” I wonder how health and health promotion would be rated in the United States and how it would fare compared to other country’s programs?