Richard Smith (editor)

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Richard Smith is a British medical doctor, editor, and businessman.

He is director of the Ovations initiative to combat chronic disease in the developing world.[1] The initiative is funding centres in China, Bangladesh, India, Pakistan, Tunisia, Tanzania, South Africa, Central America, and the US Mexico border. He is also Chairman of the Board of Directors of Patients Know Best.

Previously he was chief executive of UnitedHealth Europe, a subsidiary of the UnitedHealth Group that works with public health systems in Europe. Before that he was editor of the BMJ (previously the British Medical Journal), and chief executive of the BMJ Group. Smith worked for the BMJ for twenty-five years, from 1979 to 2004, the last thirteen as editor.

Smith is a proponent of open access publishing. He was editor of the BMJ when the journal first moved to online publishing, and made the journal's archives freely available. He sits on the Board of Directors of the Public Library of Science,[1] an open access publisher of scientific and medical research. He was editor in chief of the open-access Cases Journal, which aims to create a database of medical case reports.[2]

He is an honorary professor at the University of Warwick and a member of the governing council of St George’s, University of London.[2]

Having qualified in medicine in the University of Edinburgh, he worked in hospital in Scotland and New Zealand before joining the BMJ. He also worked for six years as a television doctor with the BBC and TV-AM[3] and has a degree in management science from the Stanford Graduate School of Business.

Smith is the author of the book The Trouble with Medical Journals (2006, ISBN 1-85315-673-6), in which he contends that medical journals have become "creatures of the drug industry", rife with fraudulent research and packed with articles ghost written by pharmaceutical companies.[4] He has also written about the limitations and problems of the peer review process.[5] In 2014, in an interview with New Scientist, he argued for criminalisation of research fraud.[6]

His brother is comedian Arthur Smith.

Views on cancer[edit]

In December 2014, Smith wrote on the BMJ blog that trying to find a cure for cancer was a waste of money, claiming that, “with love, morphine, and whisky”, the disease is the best way to die.[7] His remarks provoked outrage.[8][9][10] The British Medical Journal said:

Smith’s New Year’s Eve blog on thebmj.com about cancer offering the best death garnered global media coverage and triggered a social media storm from thousands of bereaved relatives and the parents of children with cancer. He was accused of “glibly glossing over the pain” of cancer, to quote Michael Broderick, one of the 173 respondents on thebmj.com.[11]

Smith responded and tried to clarify some of his points in a follow-up blog post on 5 January.[12]

  1. ^ "Ovations, a UnitedHealth Group Company, announces global partnership to stem the growth of chronic disease", May 2007. Accessed 2009/02/13.
  2. ^ "Patients Know Best". Retrieved 2012-01-16. 
  3. ^ The Trouble with Medical Journals, page 4, (2006, ISBN 1-85315-673-6)
  4. ^ Smith R (March 2006). "The trouble with medical journals". J R Soc Med 99 (3): 115–9. doi:10.1258/jrsm.99.3.115. PMC 1383755. PMID 16508048.  Free full text.
  5. ^ Smith R (October 2009). "In Search of an Optimal Peer Review System". J Participat Med (Launch). 
  6. ^ Nuwer R., "It's time to criminalise serious scientific misconduct", New Scientist, 2986: 27 (15 September 2014).
  7. ^ Smith, Richard (31 December 2014). "Dying of cancer is the best death". BMJ Blogs. BMJ. 
  8. ^ "'Death from cancer the best': UK doctor under fire over calls not to 'waste' money on tumors cure". RT.com. 1 January 2015. 
  9. ^ Schattner, Elaine (5 January 2015). "Why Yes, We Should Treat Cancer". Forbes. 
  10. ^ Rees, Larry (21 January 2015). "Cancer is not a merciful killer – the research billions are well spent". The Guardian. 
  11. ^ Brendel, Kelly; Payne, David (23 January 2015). "Going gently into that good night: what is the best death?". BMJ 350: h393. doi:10.1136/bmj.h393. 
  12. ^ Smith, Richard (5 January 2015). "The death debate: a response from Richard Smith". The BMJ Blogs. BMJ. 

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