Journal of Health Politics Policy and Law最新文献

"We Want to Put Them in Trauma": Understanding the Trump Administration's Attack on Government Health Agency Regulatory Authority. “我们想让他们遭受创伤”：理解特朗普政府对政府卫生机构监管机构的攻击。

IF 2.8 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-10-08 DOI: 10.1215/03616878-12262624

Matt Motta

{"title":"\"We Want to Put Them in Trauma\": Understanding the Trump Administration's Attack on Government Health Agency Regulatory Authority.","authors":"Matt Motta","doi":"10.1215/03616878-12262624","DOIUrl":"https://doi.org/10.1215/03616878-12262624","url":null,"abstract":"Throughout the first months of his second term in office, the Trump administration has taken swift action to undermine the role that government health agencies play in the health policymaking process. This commentary makes the case that the Trump administration's efforts to undermine government health agencies' regulatory authority reflect a dislike and distrust of the people who serve in key civil service roles. It also provides evidence that efforts to roll back regulatory authority are part of a longstanding political strategy to cater to public dislike and distrust of scientific, medical, and academic experts. While the public could provide policymakers with an incentive to protect public health agencies, and the people who staff them, recent public opinion research shows that many Americans simply do not know or do not care enough about the Trump administration's actions to call for their elected officials to stop them. This commentary concludes by offering several health communication strategies and directions for future research (the \"science of standing up for science\") that might inspire public concern about efforts to roll back government health agencies' regulatory authority, and to show support for the civil servants who comprise those agencies.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Never Waste a Crisis: The Past, Present, and Future of FDA Reform. 绝不浪费危机：FDA改革的过去、现在和未来。

IF 2.8 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-10-08 DOI: 10.1215/03616878-12262664

Patricia J Zettler, Reshma Ramachandran, Holly Fernandez Lynch

{"title":"Never Waste a Crisis: The Past, Present, and Future of FDA Reform.","authors":"Patricia J Zettler, Reshma Ramachandran, Holly Fernandez Lynch","doi":"10.1215/03616878-12262664","DOIUrl":"https://doi.org/10.1215/03616878-12262664","url":null,"abstract":"A core mission of the US Food and Drug Administration is to advance public health through regulatory decision-making, demanding both scientific expertise and political judgment. Since its inception, FDA has undergone frequent reform intended to better position the agency to serve its mission, with attention to evidentiary standards, patient autonomy and protection, innovation and access, transparency, and independence. Situated within the executive branch, it is reasonable for FDA's priorities and approach to change from administration to administration. However, the scope, number, and magnitude of changes in the second Trump administration have been extraordinary, including tremendous loss of expert staff and leadership, proposals for rushed reviews and approvals based on little evidence, \"expert panels\" lacking public input and conflict of interest vetting, and political interference in lieu of established science and procedures. At stake are scientific rigor and public trust in FDA's decisions. Yet this crisis may offer an opportunity to rebuild and reenvision FDA for the future. We propose that developing a core set of principles and associated metrics can shape rebuilding and reform by providing a framework for guiding FDA policy choices, a shared evaluative structure for assessing agency actions, and parameters for differentiating reasonable from unreasonable policy changes.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Science and Public Health in the Trump Era: The Dismantling of Evidence and Institutions and Proposals for Reconstruction. 特朗普时代的科学与公共卫生：证据和制度的瓦解以及重建的建议。

IF 2.8 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-10-08 DOI: 10.1215/03616878-12262640

Sam Halabi, Lawrence O Gostin, Kayla Wontumi, John Kraemer, Anjola Tega

{"title":"Science and Public Health in the Trump Era: The Dismantling of Evidence and Institutions and Proposals for Reconstruction.","authors":"Sam Halabi, Lawrence O Gostin, Kayla Wontumi, John Kraemer, Anjola Tega","doi":"10.1215/03616878-12262640","DOIUrl":"https://doi.org/10.1215/03616878-12262640","url":null,"abstract":"This contribution to the special issue addresses the unprecedented politicization of science and health institutions, which threatens the functional integrity of democratic governance itself. Regulatory measures have weakened the infrastructure for evidence generation, constrained the autonomy of scientific actors, and subordinated public health priorities to cultural grievance and political loyalty. False and misleading information about core scientific knowledge is amplified not only in social media but by government itself. NIH disinvestment, advisory body sidelining, and public rhetoric casting science as elite overreach have together eroded the credibility of United States health leadership both domestically and abroad. The targeting of DEI policies in research portfolios, moreover, jeopardizes not only representational justice but the innovation capacity of American science at large. In this contribution, we trace the historical and political structure of science-politics confrontations and detail the damage to the public health and research ecosystem. We offer proposals to reconstruct the scientific enterprise in the next presidential administration.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Importance of Dreaming About (and Mobilizing to Create) Equitable Futures. 梦想（并动员创造）公平未来的重要性。

IF 2.8 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-10-08 DOI: 10.1215/03616878-12262632

Neil Lewis

引用次数: 0

The Health Implications of US Federal Changes to Non-Health Structures and Policies. 美国联邦对非健康结构和政策的改变对健康的影响。

IF 2.8 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-10-08 DOI: 10.1215/03616878-12262688

Mohammed Abba-Aji, Sandro Galea

{"title":"The Health Implications of US Federal Changes to Non-Health Structures and Policies.","authors":"Mohammed Abba-Aji, Sandro Galea","doi":"10.1215/03616878-12262688","DOIUrl":"https://doi.org/10.1215/03616878-12262688","url":null,"abstract":"Since the election of President Donald J Trump, the US federal administration took considerable steps to weaken public health infrastructure and agencies; all of this is likely to have an impact on population health. Less discussed have been the health impacts of ostensibly \"non-health\" policies that are also being implemented by the current US federal administration. Drawing on the social determinants of health framework, we analyze how policies across domains-environmental regulation, food assistance, housing, immigration, and economic policy-fundamentally shape population health outcomes. The administration's sweeping deregulatory agenda, including rollbacks of environmental protections, cuts to nutrition assistance programs, and immigration enforcement policies, represents a systematic threat to the policy infrastructure that supports population health. These changes threaten to widen health gaps and undermine decades of progress in addressing the root causes of poor health. The analysis demonstrates that in evaluating contemporary threats to population health, we must look beyond traditional health sector policies to understand how the broader policy environment shapes the conditions in which people live, work, and thrive.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The World Health Organization and the Shifting US and Global Political Orders. 世界卫生组织与美国和全球政治秩序的变化。

IF 2.8 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-10-08 DOI: 10.1215/03616878-12262672

Matthew M Kavanagh, Siona Sharma

{"title":"The World Health Organization and the Shifting US and Global Political Orders.","authors":"Matthew M Kavanagh, Siona Sharma","doi":"10.1215/03616878-12262672","DOIUrl":"https://doi.org/10.1215/03616878-12262672","url":null,"abstract":"The withdrawal of the United States from the World Health Organization raises crucial questions about its future as the governing International Organization for health. The executive order on withdrawal was one of President Donald Trump's first acts in his second term. As WHO's biggest funder and most powerful state backer, withdrawal could indicate an existential threat. However, almost simultaneously member states passed a new international Pandemic Agreement expanding WHO's authority. How should these conflicting signals be understood? Analyzing WHO's decline in a context of broader US and geopolitical shifts, we find that withdrawal is the outcome of the end to broader political orders of neoliberal internationalism on which WHO depended for legitimacy, rather than idiosyncratic Trump politics. WHO's reliance on certain international norms and power structures leave it compromised. US normative and institutional shifts are far more difficult for WHO to navigate than in past political eras. International relations research suggests avoiding catastrophic impacts therefore depends on reform actions by WHO officials, other member states, and US actors. We find states and others in the US will face harm from WHO decline and suggest they have legal standing to challenge withdrawal. Complacency and inaction may be WHO's biggest risk.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Public Health Under Siege. 公共卫生陷入困境。

IF 2.8 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-10-08 DOI: 10.1215/03616878-12263213

Jonathan Oberlander, Sarah E Gollust

引用次数: 0

The DOGE Ate My Data: Lessons from Europe for Rebuilding the Health Data Linkage Infrastructure in the US after Trump. 《美国总检察长吃了我的数据：特朗普后重建美国卫生数据链接基础设施的欧洲经验》

IF 2.8 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-10-08 DOI: 10.1215/03616878-12262648

Julia Lynch, Michael Tu

{"title":"The DOGE Ate My Data: Lessons from Europe for Rebuilding the Health Data Linkage Infrastructure in the US after Trump.","authors":"Julia Lynch, Michael Tu","doi":"10.1215/03616878-12262648","DOIUrl":"https://doi.org/10.1215/03616878-12262648","url":null,"abstract":"Health data linkage systems are essential for understanding and addressing health inequalities, yet the United States' system-already constrained by legal and institutional limitations-has been further eroded by the second Trump administration's policies. These include defunding data collection, politicizing inequality-related research, and breaching privacy rules that protect personal data. This article draws on documentary analysis, secondary data, and comparative institutional review to document recent changes to US health data infrastructure and evaluate alternative models from France, Sweden, and England. We find that the Trump administration's actions have severely undermined the US health data linkage system, disrupting the production of data and undermining public trust. A centralized system like Sweden's offers broad data linkage capacity but may not be feasible in the US due to privacy concerns. France's tight controls on access limit usability to elite analysts, undermining inequality. England's still nascent system offers a model for equitable access to data on social, economic and political determinants of health. Rebuilding the US health data linkage infrastructure post-Trump will require restoring public trust, restoring collection of key sociodemographic indicators, and ensuring equity in access. International examples provide guidance for a more politically sustainable, inclusive system.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Public Health Under Attack: Continuity, Discontinuity, and History. 遭受攻击的公共卫生：连续性、非连续性和历史。

IF 2.8 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-10-08 DOI: 10.1215/03616878-12262696

Merlin Chowkwanyun

引用次数: 0

Nationwide Consequences, Rural Devastation: The Unequal Toll of Public Health Spending Reductions. 全国后果，农村破坏：公共卫生支出削减的不平等代价。

IF 2.8 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-10-08 DOI: 10.1215/03616878-12262656

Jonathon P Leider, J Mac McCullough, Jason Orr, Beth Resnick

{"title":"Nationwide Consequences, Rural Devastation: The Unequal Toll of Public Health Spending Reductions.","authors":"Jonathon P Leider, J Mac McCullough, Jason Orr, Beth Resnick","doi":"10.1215/03616878-12262656","DOIUrl":"https://doi.org/10.1215/03616878-12262656","url":null,"abstract":"This article examines the implications of recent and proposed reductions in federal public health funding, with a focus on how these cuts disproportionately impact rural and low-resource communities. Drawing insight from national datasets, the authors document the increasing reliance of state and local public health systems on federal funds, particularly in the aftermath of COVID-19. Scenario modeling reveals that a rollback to pre-COVID federal funding levels would likely leave many local jurisdictions unable to sustain core public health services, especially where local fiscal capacity is limited. The authors argue that, while some communities may be able to partially offset federal losses with local revenues, most lack the means to do so at scale-particularly rural areas already strained by limited infrastructure. This paper offers empirical estimates of federal support, evaluates the plausibility of local revenue substitution, and analyzes the consequences of federal disinvestment on the Foundational Public Health Services. These findings underscore a key tension in federalism in which calls for local autonomy amid shrinking federal support risk exacerbating health inequities and eroding core protections, both of which lead to critical questions about the federal government's role and responsibility in ensuring a resilient and equitable public health system.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0