Research

CGHA research evaluates public-health policies using empirical evidence rather than assumption. Our reports combine economics, epidemiology, behavioural science, field research and institutional analysis to understand whether policies achieve their stated objectives and what can be learned from their implementation.

22 publications
The House Always Wins
FeaturedBookSeptember 2026
The House Always Wins

An investigative narrative revealing how smartphones, deregulation, and pandemic isolation turned America’s pastime into its newest addiction — and the book behind CGHA’s gambling research programme.

Markets & BehaviorRead article →
WHO: Transparency, Funding and the Test of Correction
AccountabilityNovember 2026
WHO: Transparency, Funding and the Test of Correction

Global Health Accountability Index: updated provisional assessment, October 2026

Global Health GovernanceRead article →
Who Gets to Speculate?
gamblingOctober 2026
Who Gets to Speculate?

Prediction markets challenge inherited legal categories. Regulation should begin with economic function, evidence of harm and realistic alternatives.

Markets and BehaviorRead article →
Vaccines and the Changing Burden of Disease
vaccinesOctober 2026
Vaccines and the Changing Burden of Disease

CGHA research assesses vaccine benefits, injuries, evidence quality, public trust and the justification for compulsory policies.

Read article →
Illicit nicotine falls in Pennsylvania while Cambridge rebounds
FIELD PAPEROctober 2026
Illicit nicotine falls in Pennsylvania while Cambridge rebounds

Updated local sampling through October 2026, with historical baselines, charts and analysis of legal authorizations and enforcement.

Tobacco and NicotineRead article →
When the Campaign Becomes the Cause
WORKING PAPEROctober 2026
When the Campaign Becomes the Cause

Advocacy scientific uncertainty and the economics of permanent campaigning

LawfareRead article →
Silence in Geneva
WORKING PAPEROctober 2026
Silence in Geneva

Institutional alignment and international health governance

LawfareRead article →
Beyond Deep Pockets
WORKING PAPEROctober 2026
Beyond Deep Pockets

Professional pressure and scientific debate during COVID 19

LawfareRead article →
When Evidence Becomes Authority
WORKING PAPEROctober 2026
When Evidence Becomes Authority

IARC hazard classifications academic influence and litigation

LawfareRead article →
When Process Becomes Punishment
WORKING PAPEROctober 2026
When Process Becomes Punishment

How legal costs, scientific uncertainty and procedural pressure can shape outcomes before a decision on the merits. Paper 1 develops CGHA’s lawfare framework and tests its limits across litigation, scientific speech and regulation.

Global Health GovernanceRead article →
Kratom at the Edge of Acceptable Addiction
POLICY PAPERSeptember 2026
Kratom at the Edge of Acceptable Addiction

A product-specific framework for regulating kratom leaf, concentrated extracts, enhanced 7-OH and novel analogues, with evidence on dependence, trade and substitution.

Markets and BehaviorRead article →
The Capability Existed
POLICY PAPERSeptember 2026
The Capability Existed

The pre-pandemic coronavirus research record establishes technical capability, not proof of origin. This paper sets out an independent accountability agenda for high-consequence research.

Pandemic PolicyRead article →
Lower Risk Nicotine Uptake and Adult Smoking Decline
WORKING PAPERSeptember 2026
Lower Risk Nicotine Uptake and Adult Smoking Decline

A 15-country national-survey model examines nicotine uptake and adult smoking change, with leave-one-out checks, endpoint sensitivities and a separate timing study. Estimates remain imprecise.

Tobacco and NicotineRead article →
Tobacco Control Alignment Atlas
POLICY ATLASSeptember 2026
Tobacco Control Alignment Atlas

Explore 71 provisional country assessments, four policy dimensions and a common 15-product access matrix, alongside clearly distinguished smoking-outcome data.

Tobacco and NicotineRead article →
The Biodefense Trap
POLICY PAPERSeptember 2026
The Biodefense Trap

How the post-anthrax expansion of biodefense linked intelligence needs, research ambitions and public-health authority without building equally strong external oversight.

Pandemic PolicyRead article →
Vaccines: What Do the Data Say—and Can We Trust Them?
POLICY PAPERAugust 2026
Vaccines: What Do the Data Say—and Can We Trust Them?

A product-specific assessment of vaccine benefits, risks and data integrity that separates mortality from incidence and tests claims across methods and jurisdictions.

Pandemic PolicyRead article →
The Market Among Friends
FIELD PAPERAugust 2026
The Market Among Friends

How regulatory exclusion creates informal nicotine supply chains. An exploratory study of 18 adult consumers in Montgomery County, PA: 16 of 18 obtained excluded products through friends. Prohibition may change the supplier without ending the demand.

Tobacco and NicotineRead article →
Internet Sports Gambling, System Legitimacy, and Managed Risk
SURVEY PAPERJune 2026
Internet Sports Gambling, System Legitimacy, and Managed Risk

Evidence from Montgomery County, PA (n=654): concern about addiction is widespread and trust in operators is low, yet support for legalization and participation remain substantial. Behavior tracks perceived system legitimacy, not trust alone.

Markets and BehaviorRead article →
From Public Health to Behavioral Governance
ESSAYJune 2026
From Public Health to Behavioral Governance

Why modern health politics increasingly seeks to manage lifestyle rather than reduce harm: real problems affecting some people are used to justify far broader systems of behavioral management.

Global Health GovernanceRead article →
Vaccine Uptake, System Legitimacy, and Institutional Exit After COVID-19
RESEARCH REPORTMay 2026
Vaccine Uptake, System Legitimacy, and Institutional Exit After COVID-19

Distrust of pharmaceutical companies is high and broadly similar across political groups, yet uptake varies sharply. Vaccine behavior is better understood as a judgment about the credibility, independence, and accountability of the governing system.

Pandemic PolicyRead article →
Markets Without Pause
ISSUE PAPERMay 2026
Markets Without Pause

On continuous, frictionless betting markets and what the removal of natural stopping points means for consumers and regulators.

Markets and BehaviorRead article →
The Great Avoidance
RESEARCH NOTEApril 2026
The Great Avoidance

A flagship comparative review of Covid inquiries across countries and institutions: the decisions they scrutinized, the questions they left unresolved, and the lessons now shaping future pandemic governance.

Pandemic PolicyRead article →