Jennifer Godenzo discusses how it applies to the ?ladder of participation? by giving citizens control and is thus equitable, empowering, and focuses on the social determinants of health. She explains the five steps of participatory budgeting: design a process with the community, brainstorm ideas, develop proposals, cast a vote, and fund winning projects. She also gives examples of where participatory budgeting has been used, from high schools in Phoenix, AZ to citywide community garden projects in Vallejo, CA to within organizations, such as hospitals and foundations.