Michael J. Keegan

Jan Government today stands at a defining crossroads. Across the U.S. and around the world, public institutions are being asked to do more—often with fewer resources, rising expectations, and growing complexity. Governments must respond to crises while preparing for long-term risks; modernize legacy systems while maintaining continuity of service; and rebuild public trust while delivering tangible, measurable results. These pressures are not theoretical.

ReviewArticles in Press106643Open access aDepartment of Internal Medicine, College of Health Sciences, Makerere University, Kampala, Uganda bUniversity of Dundee, Dundee, UK cUniversity of Liverpool, Antimicrobial Pharmacodynamics and Therapeutics, Liverpool, UK dDrugs for Neglected Diseases Initiative (DNDi), Geneva, Switzerland eViiV Healthcare Ltd., London, UK fCity St George's University of London, London, UK gGSK, Tres Cantos, Spain hLaboratory of Clinical Immunology and Microbiology...

May In today’s world, uncertainty is not an occasional storm but a persistent climate. Leaders across sectors face a barrage of disruption, pandemics, cyberattacks, and supply chain breakdowns—that demand swift, resilient decision-making.