Maxwell Smith, PhD

@maxwellsmith.bsky.social

Bioethicist, Associate Professor, & CIHR Applied Public Health Chair at Western University in London, Ontario, Canada. Also Director, Western's Centre for Bioethics and Associate Director, Rotman Institute of Philosophy. Views are my own. maxwellsmith.ca

I agree w/ @shobitap.org that lamenting the politicization of "science" and the health professions is both nonsensical and strategically problematic. The enterprise of science -- basic, clinical, and any other variety -- is fundamentally political in +++ ways. I've written about this here: 1/

Against the Very Idea of the Politicization of Public Health Policy | AJPH | Vol. 102 Issue 1

I criticize the concern over the politicization of public health policy as a justification for preferring a narrow to a broad model of public health. My critique proceeds along 2 lines. First, the fac...

ajph.aphapublications.org

"They have spent so much time talking about not having the government impose on peoples individual decisions..." "And yet, in response to the hantavirus and Ebola, this administration has chosen to impose very draconian and extreme public health measures." www.npr.org/2026/06/11/n...

White House response to hantavirus and Ebola contrasts with COVID criticisms

The administration imposed mandatory quarantine orders on two passengers from the cruise ship hit by hantavirus and is blocking Americans who catch Ebola from returning home for treatment.

npr.org

This is an important & original analysis of whether & how “coercion” is defined in scholarship about public health. Very well done. Can something similar be done for the word “politics” in public health? My sense is the word is much used, rarely defined, and this confuses things.

Maxwell Smith, PhD@maxwellsmith.bsky.social · 2mo ago

Just published in BMJ Public Health: "Coercion in public health: a scoping review of definitions" bmjpublichealth.bmj.com/content/4/2/...

NEW: Regulators have linked Mark McAfee’s raw dairy farm to more than a dozen recalls and outbreaks that left hundreds of people ill. “I’ve put a couple kids in the hospital,” McAfee said. “But here’s the thing: I’m a pioneer.”

He Profits Off Raw Milk That's Making People Sick. The Government Isn't Stopping Him.

With Raw Farm, the largest raw-milk dairy in the country, Mark McAfee has capitalized on a once-fringe product that's been thrust into the mainstream in recent years and backed by Health Secretary Robert F. Kennedy Jr.

propublica.org

The decrease in trust in science has happened almost ENTIRELY on one side of the political spectrum. Mostly created for political gain (MAGA/MAHA), the creation of wellness & influencer brands (eg, Rogan et al), selling unproven products (eg, ivermectin), and the profit of social media platforms.

Bild

tl,dr; Scientists no longer allowed to use federal funding to publish, attend meetings, or talk to the public. They cannot collaborate internationally. Grants can be cancelled for any reason, at any time, political appointees have a final say over what gets funded, and who gets funded.

Science Magazine@science.org · 2mo ago

The White House today announced it plans to make major changes in how the U.S. government manages research funding. https://scim.ag/43HgW4s

🚨🚨🚨 jamanetwork.com/journals/jam... “These findings suggest that approximately 1 in 6 patients with COVID-19 develops postacute sequelae, predominantly chronic conditions currently invisible to surveillance systems, representing an accumulating rather than resolving health care burden.”

Long COVID Persistence and Surveillance Gaps Across 58 US Hospitals

This cohort study quantifies the gap between true postacute sequelae of SARS-CoV-2 burden and diagnostic code–based estimates, determines the proportion representing chronic disease, and characterizes...

jamanetwork.com

"Hantavirus and Ebola are making headlines. But another deadly outbreak is unfolding that's barely registered on the global scene." More than 500 children died in a measles outbreak in Bangladesh, with over 60,000 suspected cases. via @npr.org www.npr.org/2026/05/24/g...

More than 500 children have died in an outbreak that the world is virtually ignoring

The number of cases — and deaths — in Bangladesh is staggering. As of Sunday, 528 have died, mostly children. How did this measles outbreak begin? And how is the country responding?

npr.org