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The most consequential exposure in the climate-and-health conversation may not be only the wildfire smoke plume, the wet-bulb heat day, or the once-in-five-hundred-year flood. It may also be the health care system itself. The US health care sector is responsible for approximately 8.5 percent of national greenhouse gas emissions—the highest per capita rate of any health system among industrialized nations […]

Introduction As extreme weather events are becoming more frequent and more severe, health insurers in the United States have the potential to drive systemic improvements in quality, equity, and environmental sustainability through coverage policy, payment design, and member communication. In 2025–2026, Health Care Without Harm (HCWH) conducted focus groups and a survey (see disclaimer) of 225 US health professionals to […]

Introduction Climate change, biodiversity loss, and pollution present pressing challenges for humanity, with far-reaching implications for human health and health care delivery systems, the well-being of communities worldwide, and life-supporting ecosystems globally (WHO, 2015; IPCC, 2022; USGCRP, 2023). Multi-sectoral solutions can address adverse impacts on planetary health (i.e., the health of human civilization and the state of the natural systems […]