Sean, I agree with you. Even though the importance of health knowledge in policy-making, economic factors are the ones that influence governmental actions and designs of public policies. Bernier & Clavier explain that in the 1960s “economists stepped in the field of action-oriented policy analysis and still wield more influence than political scientists in public debates” (Bernier & Clavier, 2011, p. 113). Moreover, many factors influence during the political process of health policies besides the public health needs. “Public policy is seen as being external to public health research and the only course of action for public health is to influence the law” (Bernier & Clavier, 2011, p. 111). This is way “some governments enact health reforms