The Latest

Early View Original Scholarship
July 2026

Feasibility Versus Vulnerability in the Geographic Distribution of Obstetric Services

By:  Christina Laternser

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

Early View Original Scholarship
July 2026

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

By:  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

Open Access
Early View Original Scholarship
July 2026

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

By:  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

Open Access
Early View Original Scholarship
July 2026

The Emergence of an Integrated Sexual and Reproductive Health System

By:  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

Early View Commentary
July 2026

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

By:  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

Early View Perspective
June 2026

A New Playbook: State-Driven Solutions for Resilient Health Data

By:  Ninez A. Ponce Riti Shimkhada Tara Becker Susan Babey AJ Scheitler

Health equity depends on data equity: the representation of communities in the data used to identify disparities, target interventions, and hold systems accountable. More

Open Access

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Opinions

Christopher F. Koller
July, 2026

What We Talk About When We Talk About Health Care Affordability

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
Paula M. Lantz
July, 2026

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

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
Iliya Gutin
July, 2026

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

Glucagon-like peptide-1 (GLP-1) receptor agonists have been adopted faster and more widely than any anti-obesity therapy prior.  More
Harold A. Pollack
July, 2026

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

For almost 40 years, Janice cared for Vincent, her son with a developmental disability, at their home in upstate New York.  More
Pauline J. Lapin
June, 2026

Guiding Principles for Cultivating a Sustainable Culture for Policy Innovation

Federal, state, and local governments have increasingly focused on innovation, hiring Chief Innovation or Technology Officers to find solutions to improve the delivery of benefits and services and to address unresolved health care issues.  More
John E. McDonough
June, 2026

Public Policy Cornerstones of America’s Financialized Health Care System

I’ve been examining how public policies have facilitated the transformation of America’s health and medical care systems into today’s financialized and commercialized realities.  More

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Special Issue

Read the articles

Disease Burden, Mortality, and Life Expectancy in the United States: What Can State Policymakers Do to Meet the Challenges?

The 2026 Milbank Quarterly special issue features articles that address epidemiologic trends and challenges, health care issues and state-level innovations, and public health infrastructure and governmental issues.

For Authors

Information, instructions for authors, publication policies, and additional resources for authors interested in submitting manuscripts to The Milbank Quarterly.

Learn More

About The Milbank Quarterly

Continuously published since 1923, The Milbank Quarterly features peer-reviewed original research, policy review, and analysis from academics, clinicians, and policymakers.

Editor

Alan B. Cohen

Publisher

Debra Lubar

Managing Editor

Tara Strome

2-year Impact Factor: 6.6
Journal Citation Reports® 2022 Rankings: 3/87 (Health Policy & Services); 8/105 (Health Care Sciences & Services)
5-year Impact Factor: 8.964