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Maxwell Smith, PhD

@maxwellsmith

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

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Latest posts by Maxwell Smith, PhD @maxwellsmith

The next ethics director will be VERY busy, investigating:

Was it ethical for NIH leadership to terminate studies on health disparities, including research at Duke on the health of transgender people?

Was it ethical for Bhattacharya to ban our team from using the words “racial disparities”?

1/n

09.03.2026 23:17 👍 71 🔁 22 💬 1 📌 1
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At Largest ICE Detention Camp, Staff Bet on Detainee Suicides, AP Reports Camp East Montana has received several 911 calls in the span of five months about immigrants trying to harm themselves.

Staff at the nation’s largest Immigration and Customs Enforcement detention facility have placed bets on which detainee will be the next to die by suicide, according to new reporting from the Associated Press based on 911 calls and detainee accounts.

07.03.2026 21:00 👍 9285 🔁 6064 💬 607 📌 1536

"Politically correct", "woke", etc. have simply always been synonyms for "moral".

06.03.2026 15:48 👍 22 🔁 9 💬 2 📌 5
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Pregnant women in ERs took less Tylenol after Trump autism warning A study in The Lancet finds that pregnant women in emergency rooms used less Tylenol after President Trump said it could raise their babies' risk of autism. Scientists say there is no proven link.

From @jeremyfaust.bsky.social

“Doctors and scientists quickly said the data didn't support the president's claim, but emergency room orders for Tylenol, or acetaminophen, for pregnant patients went down 10% in the months that followed”

06.03.2026 12:58 👍 21 🔁 12 💬 1 📌 0
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Arizona House passes vaccine mandate ban; Senate, voter approval needed A push to end vaccine mandates in Arizona comes as the state reports 275 measles cases since early 2025. HCR 2056 is off to the Senate. If approved, there it would appear on the November 2026 ballot.

The Arizona State Legislature just got one step closer to a November ballot proposition that would ban any childhood vaccine requirements for school entry.

AZ House Republicans have passed it and now it’s on to the Senate Republicans.

04.03.2026 23:40 👍 63 🔁 27 💬 4 📌 3
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EU regulator backs approval for Moderna's combined COVID, flu shot Europe's medicines regulator on Friday recommended approval for Moderna's mCombriax, paving the way for it to become the first combined shot for protecting people aged 50 and older against COVID and s...

Exciting!! “Europe's medicines regulator on Friday recommended approval for Moderna’s mCombriax, paving the way for it to become the first combined shot for protecting people aged 50 and older against COVID and seasonal influenza in a single dose.” @jackiantonovich.bsky.social

27.02.2026 13:08 👍 165 🔁 54 💬 2 📌 5

Thanks for sharing/tagging! At Western University's new Centre for Bioethics we're tracing the history of bioethics in the region, dating back to the Westminster Centre for Ethics and Human Values, established in the late '70s as well. More history of Bioethics in Canada is needed!

27.02.2026 02:48 👍 1 🔁 1 💬 0 📌 0

I think one reason for people's stubbornness here is that this language has become normal for *them*, and so they're defensive. But good risk communication should apply even to the language that has become normal or habit for me and you.

25.02.2026 14:52 👍 4 🔁 1 💬 0 📌 0

I often hear the retort, "but people understand I'm referring to lockdown/the emergency phase when I say that!" or something of that nature. First, that's a bad assumption. Second, why are you so opposed to avoiding language that is imprecise and can distort risk? It's a strange hill to die on.

25.02.2026 14:52 👍 5 🔁 1 💬 1 📌 0

Public health takes risk communication seriously. We routinely advocate for shifts in language to help people understand risk and make informed choices.

But when questioned about confusing language that can distort risk, like 'back during COVID' or 'post-COVID', we remain surprisingly obstinate.

25.02.2026 14:52 👍 8 🔁 2 💬 2 📌 0
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Doug Ford’s government said traffic officers could help replace banned speed cameras. Three months later, here’s what Toronto police say Most of the 150 speed camera locations in Toronto are not eligible for traffic-calming infrastructure.

"Doug Ford’s government said traffic officers could help replace banned speed cameras. Three months later, here’s what Toronto police say. Most of the 150 speed camera locations in Toronto are not eligible for traffic-calming infrastructure."

www.thestar.com/news/gta/dou...

21.02.2026 14:27 👍 11 🔁 8 💬 1 📌 1
Post image

Report underscores death toll of health care-related infections

Infections acquired in health care settings kill three times more people than car accidents each year.

www.cidrap.umn.edu/h...

Photo: Bart Heird / Flickr cc

20.02.2026 22:17 👍 132 🔁 70 💬 3 📌 19
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New Documents Reveal a Controversial Vaccine Study's Unusual Path to CDC Approval A new investigation has found irregularities in the ethics review of a grant to study effects of a birth dose of hepatitis B vaccine in Guinea-Bissau.

New from @katherineeban.bsky.social in @rollingstone.com: CDC appointees bypassed the agency’s scientists to rush-fund a study questioning the hep B birth dose. The ethics committee president says his name was used on the approval without his knowledge.

www.rollingstone.com/politics/pol...

21.02.2026 01:27 👍 280 🔁 188 💬 11 📌 22
Screenshot of the linked press release announcing the appointment of Dr. Joss Reimer as CPHO.

Screenshot of the linked press release announcing the appointment of Dr. Joss Reimer as CPHO.

👀Hey, Canada finally has a new Chief Public Health Officer (!).
www.canada.ca/en/public-he...
Congrats Dr. Joss Reimer.
#CPHO

20.02.2026 15:38 👍 8 🔁 4 💬 2 📌 0

I spoke with @melodyschreiber.com about the deep irony of Bhattacharya serving as Acting Director of CDC & Director of NIH simultaneously.

For years, he has advocated for separation between these role, framing this type of arrangement as a conflict of interest that would have chilling effects.

19.02.2026 14:25 👍 52 🔁 25 💬 2 📌 3

On a recent podcast appearance, Bhattacharya said the funniest experience he's had with Trump was standing next him while the President gave misleading medical advice to pregnant people.

19.02.2026 00:52 👍 55 🔁 25 💬 7 📌 7
Post image

4-5 years ago there were MDs like Lucy McBride crowing about the urgency of normal, getting kids back to school. There were PR hacks like David Zweig supporting them. Now kids are being sent to immigration detention, getting measles & these folks are nowhere to be found. It was never about the kids.

18.02.2026 11:25 👍 418 🔁 122 💬 8 📌 6

Our new CDC Director

18.02.2026 20:52 👍 263 🔁 101 💬 26 📌 7
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Exclusive: Key US infectious-diseases centre to drop pandemic preparation Staff members have been instructed to scrub this topic and ‘biodefense’ from the agency’s website.

Sure sure let’s order the National Institute of Allergy and Infectious Disease (NIAID) to end all pandemic preparedness and biodefense work.

WHAT COULD POSSIBLY GO WRONG?

13.02.2026 23:16 👍 364 🔁 237 💬 47 📌 46

Revokes scientific finding

12.02.2026 19:14 👍 329 🔁 92 💬 21 📌 4

“…aims to get bills that would roll back or eliminate vaccine requirements in every statehouse in the country.” 😳

11.02.2026 02:23 👍 7 🔁 7 💬 0 📌 0

Journalists have often asked me how vaccine policy in the US could impact Canadians. I've repeated that one way, among many, is by fundamentally altering the value proposition for vaccine research and development. And so it begins.

11.02.2026 02:09 👍 21 🔁 11 💬 1 📌 0
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Hallway health care metric one of several 'to be retired' from health agency’s public report The metric was not included in the latest Ontario Health annual report, with one emergency physician calling it ‘utter malpractice’ to not release the data publicly

Hallway health care metric one of several 'to be retired' from health agency’s public report

One emergency physician calling it ‘utter malpractice’ to not release the data publicly

www.thetrillium.ca/news/health/...

#onpoli

05.02.2026 17:54 👍 23 🔁 24 💬 1 📌 8

When anti-mask-wearing laws were being proposed/passed, clinically vulnerable lives were devalued for what seemed like ridiculous argument that the COVID cautious were hiding faces for criming reasons. Now ICE et al are hiding their faces for criming reasons. Every accusation seems a confession.

30.01.2026 15:45 👍 11 🔁 6 💬 0 📌 0

Autonomy in vaccine decision-making is supported, not undermined, by expert recommendations and guidance. Thanks for emphasizing this, @kmpanthagani.bsky.social

28.01.2026 16:31 👍 12 🔁 5 💬 0 📌 1
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Canada will require refugees and asylum seekers to co-pay for health care starting in May They will have to pay 30 per cent of the costs of services such as dental, optometry and physiotherapy and a $4 flat rate on each prescription.

This came in the same budget that axed a luxury tax on yachts. www.thestar.com/news/canada/...

27.01.2026 23:04 👍 185 🔁 125 💬 7 📌 11

Here is a post for all those “ethics” and “accountability” in AI folks.

Good luck with that!

26.01.2026 02:39 👍 10 🔁 2 💬 1 📌 0
Screenshot of the partial table of cuts, with Global Affairs (population 7657/workforce adjustment notices 1223) and Health Canada (population 9628/workforce adjustment notices 1039) highlighted

Screenshot of the partial table of cuts, with Global Affairs (population 7657/workforce adjustment notices 1223) and Health Canada (population 9628/workforce adjustment notices 1039) highlighted

🤔"Tracking job cuts in the [Canadian] federal public service" www.hilltimes.com/story/2026/0...

23.01.2026 19:48 👍 2 🔁 2 💬 0 📌 3

⬇️. Precisely.

When people refuse to get vaccinated, simply piling on more evidence of their effectiveness is not enough. The same holds for politic leaders & the officials they appoint.

There are, however, powerful moral arguments that are more appropriate (& by extension political ones as well).

24.01.2026 17:40 👍 3 🔁 1 💬 0 📌 0
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Do vaccine mandates impair the voluntariness of informed consent? An ethical and legal obligation generally exists for informed consent to be obtained prior to the administration of medical interventions. This includes vaccinations. For an individual’s informed cons...

Regarding his claim that vaccine mandates violate informed consent, we rebut this view here:

jme.bmj.com/content/earl...

24.01.2026 14:22 👍 1 🔁 2 💬 0 📌 0