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“Public health is purchasable,” wrote Hermann Biggs, the general medical officer of the Department of Public Health for the City of New York, in 1911. The failure by policymakers today to purchase prevention and effective intervention not only ignores the long history of applying scientific evidence to our eternal struggle against disease, but is also morally wrong. More
Louis W. Sullivan,
Gail R. Wilensky,
Catherine D. DeAngelis,
John E. McDonough,
Joshua M. Sharfstein,
Lawrence O. Gostin,
John P.A. Ioannidis,
This article investigates the mass production of systematic reviews and meta-analyses, many of which are suboptimal and can be harmful given the prestige and influence these types of studies have acquired. The author proposes several ways to realign biases and vested interests and to better integrate these publications with the primary production of evidence. More
Matthew J. Page , David Moher ,
Elizabeth Cox, Rachel Ann Barry, Stanton A. Glantz,
In 2009, local and state policymakers began identifying ways to regulate e-cigarettes. Opposition to e-cigarette legislation initially came from e-cigarette users and retailers. But when cigarette companies entered the e-cigarette market, policy debates resembled comparable tobacco control debates from the 1970s through 1990s. The authors analyze e-cigarette policy debates between 2009 and 2014 in New York, Los Angeles, Duluth (Minnesota), and Chicago. More
Antonia K. Bernhardt, Joanne Lynn, Gregory Berger, James A. Lee, Kevin Reuter, Joan Davanzo, Anne Montgomery, Allen Dobson,
Context: The Altarum Institute Center for Elder Care and Advanced Illness has developed a reform model, MediCaring Communities, to improve services… More
Hector P. Rodriguez, Rachel M. Henke, Salma Bibi, Patricia P. Ramsay, Stephen M. Shortell,
Context: Exnovation is the process of removal of innovations that are not effective in improving organizational performance, are too disruptive to… More
Marsha Gold, Catherine G. McLaughlin,
Context: The Health Information Technology for Economic and Clinical Health (HITECH) Act set ambitious goals for developing electronic health… More
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The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy.