Wicked Questions and Perfect Storms: Comment on “From Local Action to Global Policy: A Comparative Policy Content Analysis of National Policies to Address Musculoskeletal Health to Inform Global Policy Development”

Schneider and colleagues’[1] paper, "From Local Action to Global Policy: A Comparative Policy Content Analysis of National Policies to Address Musculoskeletal Health to Inform Global Policy Development," examines MSK policies across 30 of the world’s most populous nations using an adapted WHO Health Systems Building Blocks (HSBB) framework. This commentary critiques the findings through a complexity theory lens, emphasizing the amplified wickedness of MSK health challenges, shaped by systemic, socioeconomic, situational, and medical factors. These interconnected elements create varying levels of complexity, making policy implementation increasingly difficult. The commentary calls for addressing funding gaps, promoting integrated care models, and adopting a life-course approach to align MSK policy with global priorities like healthy aging. It advocates for shifting from policy learning to culturally sensitive, actionable implementation, ensuring that MSK healthcare can be effectively delivered in diverse, complex health ecosystems. This approach is critical for fostering equitable and sustainable MSK health solutions globally.