One of the world's top scientific journals put out a color-coded scorecard for Trump's health policies — and there's a lot of red

Donald Trump will become president of the United States on Friday. On Thursday, The Lancet, a top global medical journal based in the United Kingdom, published a "scorecard" evaluating what his policies could mean for public health.

The scorecard, created by three respected public health researchers, evaluates Trump's stated policies according to the 17 Sustainable Development Goals (SDGs). The 17 SDGs are a platform laid out at the United Nations for improving human welfare around the world. They include basic principles like reducing poverty and hunger, improving education and gender equality, and protecting the global environment from pollution, waste, and climate change.

The United States joined 189 other countries around the world in committing to the SDGs in 2015.

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Trump and Pence lay wreath at the Tomb of the Unknowns
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Trump and Pence lay wreath at the Tomb of the Unknowns

US President-elect Donald J. Trump and US Vice President-elect Mike Pence participate in a wreath laying ceremony at Arlington National Cemetery on January 19, 2017 in Arlington, Virginia. Hundreds of thousands of people are expected to come to the National Mall to witness Trump being sworn in as the 45th president of the United States.

(Photo by Chris Kleponis-Pool/Getty Images)

US President-elect Donald Trump and Vice President-elect Mike Pence take part in a wreath-laying ceremony at Arlington National Cemetery in Arlington, Virginia on January 19, 2017.

(MANDEL NGAN/AFP/Getty Images)

U.S. President-elect Donald Trump and Vice President-elect Mike Pence participate in a wreath laying ceremony at the Tomb of the Unknowns in Arlington National Cemetery outside Washington, U.S., January 19, 2017, one day before Trump's inauguration as the nation's 45th president.

(REUTERS/Jonathan Ernst)

U.S. President-elect Donald Trump (L) and Vice President-elect Mike Pence (C) participate in a wreath laying ceremony at Arlington National Cemetery outside Washington, U.S., January 19, 2017, one day before Trump's inauguration as the nation's 45th president.

(REUTERS/Jonathan Ernst)

U.S. President-elect Donald Trump (L) and Vice President-elect Mike Pence (2nd L) lay a wreath at the Tomb of the Unknowns at Arlington National Cemetery in Arlington, Virginia, U.S. January 19, 2017.

(REUTERS/Jonathan Ernst)

U.S. President-elect Donald Trump (L) and Vice President-elect Mike Pence (2nd L) lay a wreath at the Tomb of the Unknowns at Arlington National Cemetery in Arlington, Virginia, U.S. January 19, 2017.

(REUTERS/Jonathan Ernst)

US President-elect Donald J. Trump and US Vice President-elect Mike Pence participate in a wreath laying ceremony at Arlington National Cemetery on January 19, 2017 in Arlington, Virginia. Hundreds of thousands of people are expected to come to the National Mall to witness Trump being sworn in as the 45th president of the United States.

(Photo by Chris Kleponis-Pool/Getty Images)

U.S. President-elect Donald Trump (C) and Vice President-elect Mike Pence (R) depart after laying a wreath at the Tomb of the Unknowns at Arlington National Cemetery in Arlington, Virginia, U.S. January 19, 2017.

(REUTERS/Jonathan Ernst)

Melania Trump walks down the steps during a wreath laying ceremony with US President-elect Donald Trump and Vice President-elect Mike Pence at Arlington National Cemetery in Arlington, Virginia on January 19, 2017.

(MANDEL NGAN/AFP/Getty Images)

US President-elect Donald Trump(L) and Vice President-elect Mike Pence take part in a wreath-laying ceremony at Arlington National Cemetery in Arlington, Virginia on January 19, 2017.

(MANDEL NGAN/AFP/Getty Images)

US President-elect Donald Trump(L) and Vice President-elect Mike Pence take part in a wreath-laying ceremony at Arlington National Cemetery in Arlington, Virginia on January 19, 2017.

(MANDEL NGAN/AFP/Getty Images)

US President-elect Donald Trump and Vice President-elect Mike Pence take part in a wreath-laying ceremony as his family watches at Arlington National Cemetery in Arlington, Virginia on January 19, 2017.

(MANDEL NGAN/AFP/Getty Images)

U.S. President-elect Donald Trump (L) and Vice President-elect Mike Pence (2nd L) lay a wreath at the Tomb of the Unknowns at Arlington National Cemetery in Arlington, Virginia, U.S. January 19, 2017.

(REUTERS/Jonathan Ernst)

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Below is a graphic laying out where the authors found that each known, relevant Trump policy scores according to the SDGs. Red means that a policy represents a high risk to public health, amber a medium risk, and green a low risk.

Trump lancet scorecardThe Lancet

The authors caution that the scorecard's conclusions remain uncertain, due to some special challenges in evaluating the President-elect's decisions:

"One is that there is considerable uncertainty, and little sign of a coherent plan from Trump's transition staff and appointees. The President-elect's views are inconsistent and have shifted on many key issues, sometimes within hours. Another reason is that achieving real change requires skill, yet Trump assumes the office of President with no government experience and concerns about his understanding of the role. As a business leader at The Trump Organization, he operated a distinct family operation with a close-knit group of loyal supporters, giving him virtually absolute control over operations. As President, his actions will be constrained by the Constitution, centuries of legislation, and numerous checks and balances created by the formal separation of powers."

A key question that remains unanswered, they explain, is whether Trump will pursue the agenda he has partially laid out in various Tweets and statements. The answer to the question will impact how the points on the scorecard develop over time.

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