Proponents of integrated development face significant barriers, but the tide may be turning. To fully harness this momentum, Gib Clarke argues that the population-health-environment (PHE) community must solidify its research base, reach out to new partners, and push for flexible funding and programming. In addition, he writes that PHE programs should add livelihoods as a critical element, and consider adopting a new moniker, "HELP": Health, Environment, Livelihoods, and Population.