This document discusses the negative impacts of austerity and shrinking the state, including threats to mental health, weakened social networks, and democratic accountability. It advocates for asset-based community development and participatory accountability to promote community resilience, tackle health inequalities, and save money. Strong social networks are shown to reduce mortality risk and enhance control. A resident-led partnership approach can lead to responsive services that address community needs and improve outcomes. Modest investments in these programs can yield high social returns through health and social benefits.