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Early View Perspective
May 2026

The Carceral Shadow: Criminal Justice as a Determinant of Health and Challenges for Policymakers

By:  Rashawn Ray Keon Gilbert

The United States incarcerates more people per capita than any peer nation, and its criminal justice system disproportionately impacts Black, Indigenous, and other communities of color. More

Open Access
Early View Original Scholarship
May 2026

Trust Through Others’ Eyes: An Experiment on How Vicarious Health Care Experiences Shape System Trust

By:  Silvia Cannas Maria Cucciniello

Trust in the US health care system has declined substantially in recent years, threatening patient engagement, care outcomes, and health policy effectiveness. More

Open Access
Early View Original Scholarship
May 2026

Stretching Scarce Authorizing Legislation as Far as Possible: A Legislative History of the 340B Drug Pricing Program

By:  Sayeh Nikpay Mikayla Reinke Nicole Quinones

The 1992 340B Drug Pricing Program (“340B”) started as a narrowly focused program aimed at Public Health Service Act–funded clinics and public hospitals. Today 340B includes two-thirds of all nonprofit hospitals in the United States and accounts for more than $80 billion in discounted drug purchases. More

Open Access
Early View Perspective
May 2026

Firearm Safety in a Country of Arms

By:  Jonathan M. Metzl

In April 2018, a naked man with an AR-15 burst into a Waffle House restaurant in Nashville, Tennessee. Firing at random, he murdered four people and gravely injured five more before escaping into the night. More

Open Access
Early View Original Scholarship
May 2026

The Effects of Recent Polarized Elections on Mental Health

By:  Michael Shepherd Bethany Albertson

Context: Politics is increasingly important to many Americans. Yet little is known about how the increasing centrality of politics affects… More

Open Access
Early View Perspective
May 2026

Decommodifying and Humanizing Health Care: Revisiting Pellegrino’s Ethical Imperative

By:  Kevin Fiscella Alejandro J. Vera Ashley M. Jenkins

Edmund Pellegrino warned about the growing commodification of health and health care in the United States. After twenty-five years, it is worth revisiting Pellegrino’s critique and examining this critique in the current era. More

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Opinions

Lawrence O. Gostin
May, 2026

The Hondius Outbreak Shows What Happens When the CDC Retreats from the World

For more than three decades, I have worked alongside the Centers for Disease Control and Prevention (CDC) during many of the world’s most consequential biological threats—from the containment of SARS-CoV-1 and the West African Ebola epidemic to the global responses to Zika and COVID-19.  More
Heidi L. Allen
April, 2026

A Mental Health Lifeline: How Psychedelics Could Offer Millions of Americans Hope

For patients who have exhausted evidence-based therapies—including selective serotonin reuptake inhibitors (SSRIs), atypical antipsychotics, and cognitive behavioral interventions—access to experimental treatments should be no less available than it is for individuals with refractory cancer or Parkinson’s disease.  More
David Rosner
April, 2026

Manipulating Science, Manipulating Us

Four decades ago, I and Gerald Markowitz published an article in the American Journal of Public Health that attracted a fair amount of attention. The article was about the history of the introduction of tetraethyl lead into gasoline in the 1920s.  The article detailed the controversy over putting lead, even then a known industrial poison and neurotoxin, into the gasoline that was powering the new automobile, particularly those that were produced by the General Motors Company.  More
Dalton Conley
April, 2026

Money for Nothing? Universal Basic Income as Health Policy

To make a point, the Marxist sociologist Erik Olin Wright (1997) once borrowed a character from the 1960s comic strip Lil’ Abner: a big blobby…  More
Joshua M. Sharfstein
April, 2026

Learning to Love the Data Quality Act

At the very end of the Clinton Administration, Republican Congresswoman JoAnne Emerson inserted a two-paragraph provision into the 2001 Treasury and General Government Appropriations Act. These paragraphs would become known as the Data Quality Act (as well as the Information Quality Act) and its passage represented a major victory for industries – including the tobacco and chemical industries – regulated by the federal government.   More
Catherine K. Ettman
April, 2026

Affordability and Preventive Public Health Policy

Affordability pressures increasingly shape health risk in the United States, influencing both the upstream conditions that sustain health and the downstream ability to access health promoting resources. Financial stability is a key driver of health, affecting patterns of health, health care use, and the tradeoffs people must make among competing needs. The economic policy landscape aimed at improving financial security for Americans is expansive, complex, and often difficult to organize, making it challenging to discuss how different policies influence financial resilience and population health. We propose the Earn–Keep–Grow framework as a practical way to organize and guide discussion of these policies in population health research and policy decision-making.   More

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Special Issue

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Mental Health and Substance Use Challenges Facing the United States: What Can State Policymakers Do?

In 2025, The Milbank Quarterly published a special issue of articles that address state strategies to improve mental and behavioral health, including approaches to strengthening the behavioral health workforce, leveraging AI to address the overdose crisis, and much more.

For Authors

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

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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