March 2025  (Volume 103)

From the Editor

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    In the March 2025 Issue of the Quarterly: Population Health Imperiled

    Alan B. Cohen

    This issue of the Quarterly opens with a thoughtful Perspective on equity in evidence-informed decision making, and is followed by original scholarship on an array of policy topics, including: insurance to improve patient access to cell and gene therapy; essential medicines in the World Health Organization’s Model Lists; access to mental health treatment; principles for embedding health equity language in policy research and practice; comprehensiveness in primary care; and whole person health assessments.  More

Perspective

Original Scholarship

  • Innovative Insurance to Improve US Patient Access to Cell and Gene Therapy

    Rena M. Conti Patrick DeMartino Jonathan Gruber Andrew W. Lo Yutong Sun Jackie Wu

    Cell and gene therapies (CGTs) offer treatment to rare and oftentimes deadly diseases. Because of their high price and uncertain clinical outcomes, US insurers commonly restrain patient access to CGTs, and these barriers may create or perpetuate existing disparities. A reconsideration of existing insurance policies to improve access and reduce disparities is currently underway.   More

  • The Political Economy of the World Health Organization Model Lists of Essential Medicines

    Kristina Jenei

    The World Health Organization (WHO) Model Lists of Essential Medicines (EML) aims to help countries select medicines based on the priority needs of their populations. However, rapid evolution within the pharmaceutical sector toward complex, high-priced medicines has challenged WHO decision making, leading to inconsistent decisions. The purpose of this paper is to investigate how political factors impact the WHO EML.  More

  • Mental Health Treatment Access: Experience, Hypotheticals, and Public Opinion

    Jake Haselswerdt

    Mental health problems represent a major public health issue for the United States, and access to mental health treatment is both inadequate and unevenly distributed. There is a strong justification for government action on mental health treatment, but it is unclear whether there is a political constituency for such action. Existing work suggests that stigma and othering of people with mental illnesses contributes to reduced support for intervention. I expand on the existing literature by focusing on mental health as an issue that may apply to Americans’ own lives rather than only to a stigmatized outgroup.  More

  • Naming and Framing: Six Principles for Embedding Health Equity Language in Policy Research, Writing, and Practice

    Kamaria Kaalund Jay A. Pearson Andrea Thoumi

    Language specificity in research, advocacy, and writing is an important tool to ensure more equitable health policies. All health policy practitioners working at the intersection of health care, health policy, and health equity have a role in upholding ethical standards that promote the use of humanizing, inclusive, and antisupremacist language.  More

  • Comprehensiveness in Primary Care: A Scoping Review

    Agnes Grudniewicz Ellen Randall Lori Jones Aidan Bodner M. Ruth Lavergne

    This scoping review explored how comprehensiveness in primary care is conceptualized and defined in order to map its attributes in support of being able to more clearly and precisely define this key concept in research, practice, and policy.  More

  • How Are You Doing… Really? A Review of Whole Person Health Assessments

    Stephanie B. Gold Allison Costello Maura Gissen Selin Odman Larry A. Green Kurt C. Stange Réna Swann Rebecca S. Etz

    To provide a foundation for assessing whole person health and support further instrument development, this review summarizes past work on assessing person-reported whole health, articulates conceptual domains encompassing whole health, and identifies lessons from existing instruments, including considerations for administration.  More