Craig Spencer MD MPH
banner
craigspencer.bsky.social
Craig Spencer MD MPH
@craigspencer.bsky.social
ER Doctor | Ebola Survivor | Public Health & Humanitarian Response | Historical Determinants of Public Health at Brown School of Public Health | Member Council on Foreign Relations | Emmy Award Winner 🏆
Pinned
10 years ago today I walked out of the hospital after surviving Ebola.

Back then I begged the world to strengthen our response to that crisis and prepare for others.

I’ve been reflecting on what we’ve learned over the last decade.

And the role of the U.S. in global health🧵
I was at the Children's Health Defense conference last weekend.

While there I sat down with Bret Weinstein, Pierre Kory, and @drmarkreports.bsky.social for a wide-ranging and respectful conversation.

We didn't agree on everything. But we need more of this.
podcasts.apple.com/us/podcast/l...
Live from Children's Health Defense Part 1 of 3: A Conversation w Dr. Bret Weinstein, Dr. Pierre Kory and Dr. Craig Spencer
Podcast Episode · Why Should I Trust You? · 11/09/2025 · 1h 16m
podcasts.apple.com
November 11, 2025 at 1:58 AM
🎙️ Public Health Needs to Get Off the Mat—Why It’s Time to Step Into the Political Fight

I joined the Why Should I Trust You? podcast for an 🇺🇸🗳️ Election Day special to talk about something we in public health often shy away from: politics.

Listen here:
open.spotify.com/episode/4Wvw...
Election Day Special: Public Health Needs to Get Off the Mat & Join the Political Fight. A Conversation w Dr. Craig Spencer
open.spotify.com
November 4, 2025 at 7:32 PM
Proud to coauthor this with my amazing friend and colleague, Dr. Tsion Firew.

All over Africa, quick fixes can save lives, but real progress in emergency care needs full systems—training, diagnostics, and sustainable funding.

Available at @jamanetworkopen.com.

jamanetwork.com/journals/jam...
Raising the Standard for Emergency Medicine in Sub-Saharan Africa
Emergency conditions are responsible for half of all deaths globally, disproportionately affecting low- and middle-income countries,1 where emergency medical systems remain severely underresourced. De...
jamanetwork.com
November 3, 2025 at 3:14 PM
If you’ve read the book recently, you’d know that the topic of conversation at last night’s White House ‘Gatsby Party’ was probably very similar to what Fitzgerald wrote in 1925.
November 1, 2025 at 11:10 PM
I wrote about the long-standing tension between medicine and public health, and how history shows that for public health to be impactful, it must be MORE political, not less.

Imagine a lot of folks will disagree with this. Would love to hear your thoughts.

open.substack.com/pub/craigasp...
When Public Health Forgot How to Fight
History shows that public health has never advanced by standing above politics—it’s advanced by wading into it.
open.substack.com
October 30, 2025 at 8:48 PM
Reposted by Craig Spencer MD MPH
A thoughtful response to presidential malpractice. Revisiting following Trump’s recent reiteration.
After yesterday’s rambling press conference on acetaminophen and autism, I wrote for TIME about the disastrous medical guidance offered by the president and why this was even worse than the ‘inject bleach’ press conference during Covid

OpEd and accompanying video interview👇
time.com/7319680/crai...
Trump Is Breaking Americans’ Trust in Doctors
"The President riffed on claims so easily disproven that they bordered on absurd," writes Dr. Craig Spencer.
time.com
October 27, 2025 at 9:45 PM
In this wonderful new piece @amitchandramd.bsky.social & Luke Shors dive into how eager-to-please models and hidden bias are eroding trust in health research and care.

If you’re worried about how AI, medicine and accountability intersect — this one’s essential!

arstechnica.com/health/2025/...
When sycophancy and bias meet medicine
Biased, eager-to-please models threaten health research replicability and trust.
arstechnica.com
October 24, 2025 at 12:24 AM
The history of the FDA is fascinating and frightening.

I wrote a post on what we covered today in my Historical Determinants of Public Health class.

Read it if you’re interested in why Coca Cola exists, how we used to give kids cocaine and morphine, and the like.
open.substack.com/pub/craigasp...
The FDA Was Built in Outrage
This is the story of Wiley’s Poison Squad, Sinclair’s Jungle, and the scandals that forced reform—and why we don't want to return to the bad old days.
open.substack.com
October 22, 2025 at 7:48 PM
Reposted by Craig Spencer MD MPH
An eminent ER doctor says Trump’s shutdown talk mirrors “eugenics.”
Public Health Professor Warns Trump’s ‘Eugenics’ Policy Echoes Nazism
Eminent ER doctor says Trump’s shutdown push defies the law.
trib.al
October 18, 2025 at 12:49 AM
Reposted by Craig Spencer MD MPH
October 2, 2025 at 10:44 PM
I teach a class on the history of public health. After every class, I write a summary of what we discuss. Thought I'd start sharing some of those reflections.

Here's the first on the long history of quarantine, confinement, and travel restrictions.

craigaspencer.substack.com/p/from-quara...
From Quarantine Islands to QR Codes: How Public Health Has Managed Mobility in Outbreaks
The politics of borders, bodies, and the enduring illusion of control
craigaspencer.substack.com
October 2, 2025 at 4:45 PM
Reposted by Craig Spencer MD MPH
I'm delighted to host @craigspencer.bsky.social at the University of Connecticut next week for a conversation about "Eugenics, Statistics, and AI: From Past to Present."
October 7th, 12:30pm. Join us if you're in northeastern CT!
events.uconn.edu/human-rights...
Eugenics, Statistics, and AI: From Past to Present
Dr. Craig Spencer (Brown University SPH) looks back at the history of eugenics in medicine to explore how lessons from the past can teach us about ...
events.uconn.edu
September 29, 2025 at 9:52 PM
Reposted by Craig Spencer MD MPH
“.. The President even said his recommendations were ‘based on what I feel.’ It was reckless guidance from a man with no medical training, delivered from the nation’s most powerful podium.”

@craigspencer.bsky.social
time.com/7319680/crai...
September 24, 2025 at 1:18 AM
After yesterday’s rambling press conference on acetaminophen and autism, I wrote for TIME about the disastrous medical guidance offered by the president and why this was even worse than the ‘inject bleach’ press conference during Covid

OpEd and accompanying video interview👇
time.com/7319680/crai...
Trump Is Breaking Americans’ Trust in Doctors
"The President riffed on claims so easily disproven that they bordered on absurd," writes Dr. Craig Spencer.
time.com
September 23, 2025 at 11:46 PM
Reposted by Craig Spencer MD MPH
“This is the worst ‘health’ press conference I maybe have ever seen. And I watched every one during Covid.” — @craigspencer.bsky.social

After RFK Jr & Trump claimed #Tylenol in pregnancy and #vaccines raise autism risk without evidence, doctors warn the MAHA agenda is eroding public health.

More ⤵️
Autism, vaccines and paracetamol –how Trump and RFK created a policy from conspiracy
As Donald Trump uses the platform of the presidency to promote unproven ties between Tylenol, vaccines and autism without giving new evidence, Alex Hannaford looks at the rise of Robert F Kennedy Jr’s...
www.independent.co.uk
September 23, 2025 at 4:08 PM
Reposted by Craig Spencer MD MPH
September 23, 2025 at 12:29 AM
Reposted by Craig Spencer MD MPH
Doctor @craigspencer.bsky.social‬ argues that the Trump administration’s AI Action Plan amounts to one of its most consequential health policies, with an approach to data and research that risks hardwiring bias into American medicine. www.theatlantic.com/health/archi...
The Trump Administration Will Automate Health Inequities
By gatekeeping health data, the AI Action Plan risks hardwiring bias into the future of American medicine.
www.theatlantic.com
September 4, 2025 at 5:05 PM
Reposted by Craig Spencer MD MPH
LISTEN: Professor @craigspencer.bsky.social joined @npr.org to discuss the recent upheaval at the CDC.⤵️

"Right now, whether you're Democrats, Republicans, left, right, whatever it is, we have an agency where it's really hard to trust the recommendations that are coming out."
An emergency room doctor describes what the changes at the CDC could mean for public health
The Trump Administration has made significant changes to the departments in charge of public health. Dr. Craig Spencer, an emergency medicine physician who teaches public health policy at Brown University, discusses the impact he expects on the health o...
www.knkx.org
September 2, 2025 at 6:11 PM
Reposted by Craig Spencer MD MPH
As three top CDC officials resigned last week, Professor @craigspencer.bsky.social says there is no compensating for the vast experience lost: “We are dramatically less able to respond."
CDC officials who resigned in protest describe embrace of anti-science, anti-vaccine ideology under RFK Jr. - The Boston Globe
The three former CDC officials described an abandonment of science in favor of anti-vaccine, anti-science ideology under Robert F. Kennedy Jr.
www.bostonglobe.com
September 2, 2025 at 5:22 PM
Reposted by Craig Spencer MD MPH
Center Affiliate @craigspencer.bsky.social has an op-ed in @theatlantic.com on the White House AI Action Plan.

Health care has long struggled with bias across patient groups. #AI risks amplifying those gaps in the data we feed it, turning inequities into hard-to-fix standards of care.

More here ⤵️
The Trump Administration Will Automate Health Inequities
By gatekeeping health data, the AI Action Plan risks hardwiring bias into the future of American medicine.
www.theatlantic.com
September 2, 2025 at 1:14 PM
Reposted by Craig Spencer MD MPH
On @npr.org, @craigspencer.bsky.social warns new rules don't just affect #COVID vaccines. The danger is a future where all shots become more difficult, confusing, and costly to get.

“...more confusion, more chaos, more uncertainty and I think, unfortunately, a lot more sickness”

🎧 Listen here ⬇️
An emergency room doctor describes what the changes at the CDC could mean for public health
The Trump Administration has made significant changes to the departments in charge of public health. Dr. Craig Spencer, an emergency medicine physician who teaches public health policy at Brown Univer...
www.npr.org
September 2, 2025 at 4:07 PM
Reposted by Craig Spencer MD MPH
By gatekeeping health data, the Trump administration’s AI Action Plan risks hardwiring bias into the future of American medicine, Craig Spencer argues.
The Trump Administration Will Automate Health Inequities
By gatekeeping health data, the AI Action Plan risks hardwiring bias into the future of American medicine.
bit.ly
August 29, 2025 at 3:45 PM
Reposted by Craig Spencer MD MPH
Enough is enough. The health of the country is in danger. Read our resignation letters: insidemedicine.substack.com/p/breaking-n...
Breaking News: Read three top CDC officials' resignation emails.
The end of an era.
insidemedicine.substack.com
August 28, 2025 at 3:38 AM
We should all worry about the chaos at the CDC

But there’s an even larger and longer-term health threat quietly unfolding

For @theatlantic.com I wrote about how the Trump admin’s ‘AI Action Plan’ risks hardwiring bias and inequity into medicine for decades.

www.theatlantic.com/health/archi...
The Trump Administration Will Automate Health Inequities
By gatekeeping health data, the AI Action Plan risks hardwiring bias into the future of American medicine.
www.theatlantic.com
August 29, 2025 at 6:07 PM
Reposted by Craig Spencer MD MPH
Wondering whose White House job it is to protect Americans from bio threats - and why that matters? As of this week, it is *nobody's* full-time job. Here is what that means for all of us. Thanks to Jon Finer & @spsaki.bsky.social who lay it out with me here: www.theatlantic.com/ideas/archiv...
No One in the White House Knows How to Stop Ebola
We had a playbook for handling biothreats. Then Trump pushed out the people who knew how to use it.
www.theatlantic.com
August 11, 2025 at 2:23 PM