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  • Social drivers of health

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

    May 2026 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

  • Health Disparities

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

    May 2026 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

  • Pharmaceutical and Medical Device Policy

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

    May 2026 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

  • State Health Policy

    Firearm Safety in a Country of Arms

    May 2026 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

  • Global Health

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

    May 2026 Lawrence O. Gostin

    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

  • Mental Health

    The Effects of Recent Polarized Elections on Mental Health

    May 2026 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

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

    May 2026 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

  • Commercial Determinants of Health

    The Political Economy of Wellness: Commercial Determinants of a Burgeoning Industry

    May 2026 Nancy Karreman Marco Zenone Nason Maani Benjamin Hawkins

    The global wellness industry has multifaceted impacts on health and well-being, including through the sale and consumption of wellness products, the provision of health information to consumers, and the promotion of specific norms and values. Despite its growing prominence, the wellness industry and its impacts on health and policymaking remain understudied. This article examines how the wellness industry operates as a commercial, social, and political determinant of health. More

  • Health Insurance

    What Happens When Coverage Is Cut? Looking Backward and Forward From the One Big Beautiful Bill

    May 2026 Adam Gaffney Danny McCormick David U. Himmelstein Steffie Woolhandler

    The so-called One Big Beautiful Bill Act signed into law by President Trump on July 4, 2025 will cut $1 trillion from federal health care programs over the coming decade and cause 10 million individuals to become uninsured according to the Congressional Budget Office. Most analyses of the bill’s impacts have assumed they would be the inverse of those documented from previous coverage expansions. An examination of past coverage cuts might yield additional insights into the probable impacts of this legislation on the medical care and health of the needy. More

  • Mental Health

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

    April 2026 Heidi L. Allen

    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