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Milbank Quarterly Topics:

  • Reproductive Health

    Feasibility Versus Vulnerability in the Geographic Distribution of Obstetric Services

    July 2026 Christina Laternser

    Geographic gaps in hospital-based obstetric services are often framed as “maternity care deserts,” emphasizing community vulnerability and motivating targeted investments. More

  • Mental Health State Health Policy

    Opening the Door Wider to Community Support of People With Serious Mental Illnesses: What States Can Learn From the IDD Experience

    July 2026 Harold A. Pollack Richard Frank Sherry Glied

    Since the early 1960s, US policymakers have sought to assist persons living with intellectual and developmental disabilities (IDDs) and persons living with severe and persistent mental illness (SPMI) to live on a human scale with their clinical and service needs met in their communities. More

  • Health Care Costs

    What We Talk About When We Talk About Health Care Affordability

    July 2026 Christopher F. Koller

    Although health care access and affordability now ranks as Americans’ top domestic policy issue according to an April 2026 Gallup poll, a consistent definition remains elusive. More

  • Opioid Use Disorder

    Impacts of Global Cannabis Policy Changes on Substance Use: A Systematic Review of Quasi-Experimental Studies

    July 2026 Sarah B. Windle Peter M. Socha Jasleen Arneja Sam Harper Genevieve Gore Geneviéve Gariépy Eva Graham Arijit Nandi

    Substantial changes in cannabis policies are occurring globally; however, the impacts of these reforms on cannabis use, as well as downstream effects on other substance use, remain unclear. More

  • Reproductive Health

    The Emergence of an Integrated Sexual and Reproductive Health System

    July 2026 Naomi Clemmons Lea Ayers LaFave Milton Kotelchuck Arthur R. James

    Public health prevention initiatives (inclusive of clinical care/services) concerning women have historically pursued two relatively independent tracks: a maternal and child health (MCH) track and a family planning track. While not so far apart from one another, their language, practice, and policy have kept MCH and family planning services in silos at the expense of providing a comprehensive continuum of care and services for sexual and reproductive health. More

  • Public Health

    Burning Down the House: The Most Recognized Public Health Achievements Have Become a Hit List for the Trump Administration

    July 2026 Paula M. Lantz

    The Centers for Disease Control and Prevention (CDC) and other public health organizations periodically create lists of significant public health achievements in the United States and globally. More

  • Public Health

    Food Industry Engineering Is Less Important Than Access to Gut Microbiota-Accessible Foods for Preventing Chronic Disease

    July 2026 William J. McCarthy Darren Lov Frederick Ferguson

    In this commentary, we applaud Gearhardt and colleagues’ focus on the negative health effects of consuming ultra-processed foods but suggest that the bigger dietary contributor to obesity risk is American consumers’ lack of access to a diverse range of gut microbiota-accessible foods. More

  • Food Policy Population Health

    Fighting Fire with Fire: GLP-1s and the Political Economy of Population Health

    July 2026 Iliya Gutin

    Glucagon-like peptide-1 (GLP-1) receptor agonists have been adopted faster and more widely than any anti-obesity therapy prior. More

  • Aging

    More than 1 Million Americans with an Intellectual and Developmental Disability Live with a Caregiver over the Age of 60

    July 2026 Harold A. Pollack Brian Chicoine Kamala Gullapalli Cotts

    For almost 40 years, Janice cared for Vincent, her son with a developmental disability, at their home in upstate New York. More

  • Fact Sheet State Health Policy Leadership

    Fact Sheet: Improving Population Health Through Housing Policy: Lessons From the Public Housing Program

    July 2026 Hayley Piazza

    Introduction Housing instability and unaffordability are contributing to adverse outcomes across a wide range of health domains. In a Milbank… More