In the June 2019 Issue of the Quarterly.

• Lawrence Gostin offers a national action plan to achieve near universal vaccine coverage to counter the alarming surge in measles cases in the United States. • Sandro Galea and Margaret Kruk explore the implications for population health of the 2018 Declaration of Astana, reflecting on the 40 years that have transpired since the 1978 Declaration of Alma Ata first made primary care the central element for achieving health for all nations. • Joshua Sharfstein examines the potential for states to take the lead in innovation for health, arguing that a new era of state experimentation in health care is now dawning as more states expand their Medicaid programs and some look to global budgets to contain spending growth. • Gail Wilensky reviews the recent spate of Medicare for All proposals introduced in Congress and analyzes their potential impact and political feasibility. • John McDonough looks at Medicare for All in the context of states, extracting lessons learned from the outcomes of singlepayer efforts in four diverse states. • Sara Rosenbaum ponders the disquieting assault on women’s reproductive rights now taking place in many states and calls attention to the dangers that threaten public health and access to safe health care. • David Rosner describes the nightmare that awaits the nation and the world if immediate remedial action, such as radically limiting our CO2 emissions, is not taken to deal with the indisputable effects of climate change.