We live in a world marred by healthcare disparities. Pregnancy-related deaths and disabilities remain unacceptably high. Nearly 800 women die each day due to preventable causes related to pregnancy and childbirth, and scores more suffer from lasting disabilities. Shockingly, 90% of these preventable deaths occur in low-resource settings.

This article is adapted from “Population Trends and the Future of US Competitiveness”

Demographic issues intersect with a number of policy priorities on the congressional agenda, including the economy, immigration, health care and foreign policy, but how population trends influence policy outcomes is often overlooked or misunderstood. In a new report, we explore how population dynamics have changed dramatically over the last few decades, and what these changes mean for the economic and security interests of the United States.

The last two decades saw significant gains in reducing the incidence of malaria, but can we be doing even more to eradicate this disease? In early January 2024, a New York Times op-ed argued that millions were dying needlessly as tools to defeat malaria were within reach.

We take for granted the way health programs are financed—and often forget that there are biases in financing functions that undermine equitable access to health care.

For instance, through gender advances, women now decide on contraceptive use and childbearing. Yet the health financing related to those services tends to emphasize improving efficiency and optimizing resources, without necessarily aligning its objectives with gender equity or inclusivity.

We face a global crisis of maternal mortality that extends to untenable disparities within the United States. Yet too often, the populations most affected by such health disparities are sidelined in the creation of solutions to address them.

“The [COVID-19] pandemic, as all of you know, severely disrupted essential health services in countries around the world, and it left many health systems reeling from the drain on resources,” said Nidhi Bouri, Assistant Administrator for Global Health at the United States Agency for International Development (USAID) at a recent Wilson Center event to assess lessons learned in coping with the stressors created by the global health crisis.

At a recent Wilson Center event, hosted in partnership with USAID’s MOMENTUM Routine Immunization Transformation and Equity Project, Dr. Folake Olayinka, Immunization Technical Lead of the Global Health Bureau at USAID, described a recent two year period as “the largest sustained backsliding of childhood vaccination,” citing the fact that “between 2019 and 2021, approximately 67 million children missed out on essential lifesaving vaccines.”