Why do powerful doctors comply with Trump’s regime? Incentives, institutions, and the path to integrity

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Source: BMJ

Original: http://www.bmj.com/content/392/bmj.s466.short?rss=1...

Published: 2026-03-18T02:21:06-07:00

The article addresses the problem when doctors of high standing and clinical credibility get close to political power, especially next to President Trump and Secretary of Health Robert F. Kennedy Jr., thereby legitimizing misinformation. Authors Yamey and Shaffer cite specific examples where the advice of doctors close to power was at odds with expert guidelines, including recommendations regarding vaccination against Covid-19 in pregnancy and the use of paracetamol in pregnancy. The article points to the structural consequences of policy decisions, such as the loss of health coverage, weakened nutrition support, and erosion of the public health workforce. The authors explain that the professional capture of physicians is not only ideological, but is driven by incentives such as access to power, influence, donor networks, media visibility, and the prestige of elite institutions. When the system rewards visibility over factual accuracy, evidence-oriented doctors can be pushed out by high-profile naysayers who speak with more certainty than accuracy. The article emphasizes the need for countermeasures to address this problem.