The Latest

Early View Perspective
June 2026

State Choices, Unequal Access: Policies Shaping Reproductive Health Care Across the United States

By:  Alina Salganicoff Ivette Gomez Usha Ranji

Access to sexual and reproductive health care varies widely by geography, and state-level policies play a major role in establishing the contours that govern the coverage, provision, availability, and costs of services. More

Open Access
Early View Perspective
June 2026

Rural Health at a Crossroads: How Policymakers Have Failed Rural America and What Can Be Done for a Healthier Tomorrow

By:  Michael Shepherd

Rural and urban areas have diverged significantly in health care access and health outcomes over the last four decades. More

Open Access
Early View Perspective
June 2026

Public Health at an Inflection Point: Aligning State Systems to Strengthen Population Health

By:  Amy Belflower Thomas Reena Chudgar Whitney Magendie Megan McClaire Joneigh S. Khaldun

The US public health system is facing an inflection point characterized by chronic underinvestment, workforce and service delivery challenges, outdated data infrastructure, growing health inequities, and increasing instability within the broader health care safety net including projected Medicaid coverage changes and continued rural hospital closures. More

Early View Original Scholarship
June 2026

Participatory Research to Build Narrative Power: Results From Survey Research to Support Community Organizing for Health Justice and Equity

By:  Yusra Murad Kristina Medero Chloe Gansen Jasmine Sandate Marissa Hallo Sarah E. Gollust

Building narrative power, a foundational strategy used in community organizing, involves dismantling dominant narratives that uphold inequity and constructing counternarratives that advance health equity and racial justice by reshaping how people make sense of the world. More

Open Access
Early View Perspective
June 2026

Improving Population Health Through Housing Policy: Lessons From the Public Housing Program

By:  Andrew Fenelon

Housing is a fundamental social determinant of health and is particularly amenable to policy intervention. More

Open Access
Early View Perspective
June 2026

Missed Opportunities: Using Medicaid Section 1115 Projects to Improve the Health of Medicaid and Medicare Beneficiaries

By:  Leighton Ku

Medicaid Section 1115 demonstration projects are widely used to test innovative policies but are subject to “budget neutrality” limits so that federal expenditures do not exceed what the federal government would have spent if the project was not adopted. More

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Opinions

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
Lawrence O. Gostin
June, 2026

Mother Nature Is Screaming: Two Viral Spillovers — Ebola and Hantavirus Emergencies — Expose our Vulnerabilities

When I arrived in Geneva for the World Health Assembly in late May, the World Health Organization (WHO) was scrambling to contain two extremely…  More
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

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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