Health Affairs December 11, 2025
Editor’s Note
This article is the latest in the Health Affairs Forefront featured topic, “Health Policy at a Crossroads,” produced with the support of the Commonwealth Fund and the Robert Wood Johnson Foundation. Articles in this topic offer timely analyses of regulatory, legislative, and judicial developments in health policy under the Trump-Vance administration and the 119th Congress. Health Affairs Forefront alone reviews all submissions then selects, edits, and publishes them only if they meet Forefront’s editorial standards.
The American system for developing, delivering, and ensuring the safety of vaccines is a public health achievement born not of chance, but of crisis. It was legislated into existence by a bipartisan consensus that recognized a market on the brink of failure. Central...
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