 Our paper examines the impact of populist radical right parties, PRRPs, on welfare policy and its implications for population health in Europe. We find that PRRPs have been successful in shifting welfare reform in a more chauvinistic direction, while coalitions involving PRRPs have only marginally reduced this trend. Furthermore, we argue that PRRPs are not limited to Europe and provide an example of Trump's USA, which comes close to our definition of a PRRP. We also expand upon the scope of public policy to include issues such as racial, ethnic, gender, and sexuality differences, the debate over free trade versus protectionism, and the rejection of climate change science by many PRRPs. Finally, we make a call for further research into the political determinants of health. This article was authored by Ronald Labonte and Fran Baume.