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December 18, 2024, Paper: "Trust between citizens and the institutions that govern them is essential for effective policy, especially in public health. Across the world, higher levels of trust in government are associated with higher uptake of public health guidance, from vaccinations and use of preventive health services to physical distancing recommendations during epidemics.^, However, against a backdrop of escalating political polarization and rising levels of misinformation, there has been a stark decline in public confidence in government and health institutions. In 1966, 73% of people expressed a “great deal of confidence” in those running the medical system. By 2012, only 34% did. In 2024, the Edelman Trust Barometer revealed that 70% of US respondents worried government leaders were purposely trying to mislead them. This trend has a negative impact on health care delivery at almost every level, from patient–doctor relationships to national population health efforts."