State Policy Capacity

The new federal administration is implementing its strategy of, as one if its puppet masters, Steve Bannon, likes to say, “flooding the zone.” Over the course of three weeks, it has released over 50 executive orders and taken administrative actions designed to abolish agencies, flush out a swath of the government workforce, and test the constitutional balance of powers. Collectively this is a real gully washer of executive branch activity. The state and local health officials that Milbank supports are leaders in the communities at the mouth of the gully who are dealing with all that is washing out to them.   More

State policymakers have struggled with the unintended consequences of the Food and Drug Administration (FDA) accelerated drug approval process for… More

The first time Utah state Rep. Steve Eliason was asked what he was going to do about a rash of youth suicides in his suburban Salt Lake County… More

Public health laws affect health not only through their substance and design but also through implementation and enforcement. Equitable policymaking requires implementation that respects and works for everyone, with careful attention to the steps of the policy process that follow policy enactment, including enforcement, evaluation, and revision — all of which are necessary to ensure that public health laws have their intended effect. State and local officials working in a range of agencies — from public health to fair employment, housing, consumer protection, government law offices, and more — play a significant role in the implementation and enforcement of public health laws.  More

Many high schools in Wake County, North Carolina, are situated in economically vulnerable areas, so there is also a correlation between the density of outlets and Wake County’s most vulnerable areas. These areas are often populated by low-income families and communities of color. The saturation of vape shops in low-income areas not only perpetuates a cycle of poor health outcomes but also highlights the systemic inequities present in the availability and marketing of harmful substances. Addressing these disparities is essential to ensuring all communities benefit from progress in reducing teen vaping rates.   More

Abstract  Health care is increasingly unaffordable in the United States. While comprehensive, affordable health coverage for middle- and… More