The article argues that recent executive overreach and politicization have severely undermined established norms of U.S. civil-military relations. To restore professional standards, the incoming Congress must actively exercise its oversight powers, moving beyond mere criticism to demanding transparency in defense policy and personnel decisions. Key reforms include enforcing meritocratic promotion processes, requiring documented justification for senior officer removals, and preventing the partisan use of the military. These actions are crucial for bolstering public trust and ensuring the military remains a nonpartisan instrument of civilian control.
Expanding Access to Immunizations in the Americas | The Common Health Live!
English Summary
The analysis emphasizes that immunization gains in the Americas, despite historical leadership, are fragile and vulnerable to setbacks, as evidenced by recent measles outbreaks and coverage drops following the pandemic. Sustaining high, equitable vaccine coverage (e.g., 95% for measles) requires continuous effort, particularly targeting unvaccinated pockets at the subnational level. Policy recommendations stress that successful disease prevention requires more than episodic campaigns; it demands sustained political will, predictable financing, and robust technical cooperation among regional bodies like PAHO. Therefore, regional strategies must prioritize strengthening health systems resilience and ensuring consistent vaccine procurement to prevent the loss of elimination status for vaccine-preventable diseases.
中文摘要
本分析強調，美洲的免疫進展，儘管具有歷史領先地位，但其成果是脆弱的，容易受到挫折，這從近期麻疹疫情爆發和疫情後疫苗覆蓋率的下降中可見。維持高且公平的疫苗覆蓋率（例如麻疹的95%）需要持續的努力，特別是針對次國家層級的未接種人群。政策建議指出，成功的疾病預防需要的不僅是偶發性的運動；它要求持續的政治意願、可預測的財政支持，以及區域機構（如泛美衛生組織，PAHO）之間穩健的技術合作。因此，區域策略必須優先強化衛生系統的韌性，並確保持續的疫苗採購，以防止可預防疾病失去消除狀態。
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