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  • Mortality Rates in the United States Continue to Climb

    September 2026

    A new Milbank Quarterly study compares US life expectancy by state with that of other nations, finding that, in 2021, life expectancy in West Virginia and Mississippi resembled that of Bulgaria, Bangladesh, Azerbaijan, and Iraq. It also was lower than in very low-income countries such as North Korea and Syria. More

  • Population Health

    US Life Expectancy and Increasing Mortality Rates: An Analysis of the Crisis

    September 2026 Steven H. Woolf

    US life expectancy is shorter than in other high-income countries, and the gap has widened over time. More

  • Social drivers of health Value-Based Payment

    Addressing Social and Cultural Needs with Lean Management in a National Sample of US Physician Practices

    September 2026 Dorothy Y. Hung LILLIAN C. LEVY Karen E. Schifferdecker Dasha E. Zerboni Stephen M. Shortell

    Health-related social needs—including stable housing, food security, and interpersonal safety—and patient race, ethnicity, and language (REAL) are key contributors to health equality. More

  • COVID-19

    The Czech Conundrum: Institutional Trust Erosion and COVID-19 Pandemic Mortality

    September 2026 Charles P. Webel

    The Czech Republic’s COVID-19 excess mortality represents a preparedness paradox. More

  • Comparative Health Systems

    The Inverted Circuit: Attribution, Answerability, and Accountability in Canadian Health Governance

    September 2026 Alan H. Menkis

    Canada and the United States have pursued health-system accountability for decades through inquiries, commissions, and public reporting, yet the same governance failures recur. More

  • Primary Care

    The State of Primary Care in the United States

    September 2026 Robert L. Phillips Deborah J. Cohen Ethan J. Phillips Lauren S. Hughes Andrew W. Bazemore

    Primary care is the foundation of a high-functioning health system, yet it has been weakened for decades, and the consequences for patients, population health, and costs are increasingly apparent. More

  • Aging

    What the World Can Teach the United States about Aging

    September 2026 Joshua R. Ehrlich Lindsay Kobayashi

    Populations around the world are aging, and fast. Here in the United States, not only is the population getting older, but it’s doing so in the… More

  • Opioid Use Disorder State Health Policy

    Building a Resilient Substance Use Disorder Treatment Safety Net in An Era of Austerity: Challenges for US State Governments

    September 2026 Brendan Saloner Yngvild Olsen

    State governments play a central role in the delivery of substance use care in the United States, which has a profound impact on public health. More

  • Infectious Disease State Health Policy

    Vaccine Policy: The State Role in a Time of Public Health Disruption

    September 2026 Sara Rosenbaum

    Beginning in 2025, longstanding opponents of vaccines have held the highest positions of federal public health policy powers. More

  • Infectious Disease State Health Policy

    Improving the Outlook for Infectious Disease Control in the United States Through State-Led Initiatives

    September 2026 Mary-Margaret A. Fill William Schaffner

    Over the last decade, the United States has encountered numerous infectious disease-related public health threats, observed declines in life expectancy and childhood vaccination rates, and experienced rapid changes and reorganizations to the domestic public health system. More