Kerman University of Medical Sciences International Journal of Health Policy and Management 2322-5939 14 1 2025 12 01 Rowing Against the Tide: Building Healthier Societies Is Difficult; Comment on “How to Build Healthy Societies: A Thematic Analysis of Relevant Conceptual Frameworks” 1 3 4777 10.34172/ijhpm.9089 EN José-Ramón Repullo-Labrador National School of Public Health, Madrid, Spain Journal Article 2025 03 16 <span class="fontstyle0">The article by Nambiar et al reviews the literature on the influence of policies from outside the health sector, </span><span class="fontstyle0">proposing Policy Levers and Enablers to enhance their positive contribution. The regulatory and fiscal lever has a </span><span class="fontstyle0">central role, but it should be better articulated with the set of vectors of good governance. Intersectoral action is a </span><span class="fontstyle0">complex but necessary axis of work. And it is necessary to change the way of measuring progress and social well-being, but the purpose exceeds the scope and legitimacy of the health sector. In a hostile political environment, it </span><span class="fontstyle0">would be advisable to draw up more defensive strategies to defend achievements and avoid setbacks.</span>  https://www.ijhpm.com/article_4777_691a6d71c0d9cf4d84d36b91961d4a3c.pdf