Martin McKee
martinmckee.bsky.social
Martin McKee
@martinmckee.bsky.social

Prof of European Public Health LSHTM
Co-Director European Observatory on Health Systems & Policy
Member Independent SAGE
Past President BMA & EUPHA
Committed to 🇬🇧 rejoining 🇪🇺

https://www.lshtm.ac.uk/aboutus/people/mckee.martin .. more

Clifford Martin McKee, CBE, is professor of European public health at the London School of Hygiene and Tropical Medicine.

Source: Wikipedia
Public Health 40%
Medicine 24%

I’ve had two as well. Obviously they have absolutely no idea about my work! Perhaps should emulate @mikedaube.bsky.social , who enabled his dog, Dr Olivia Doll, to get onto boards of predatory journals to expose their tactics

www.abc.net.au/listen/progr...
Medical science goes to the dogs - ABC listen
A Perth professor duped editors of a number of medical journals by turning his pet dog into Dr Olivia Doll and making up her academic profile. The exercise was designed to expose sham medical journals...
www.abc.net.au

Many of us have been highly critical to cuts to US development assistance, yet a new report from @cgdev.org reveals that cuts by U.K. have been even deeper. What on earth is going on?

www.cgdev.org/blog/uk-aid-...
UK Aid Cuts Now Deeper than the US After Congress Pushes Back
The US Congress has just passed its Fiscal Year 2026 spending bill. The bill includes much of the international affairs budget and—while there’s no guarantee these funds will be fully spent by the adm...
www.cgdev.org

Fully agree. Got it for Christmas. As someone who has traveled across them all, going back to Interrail in 1970s (or as a child in Belfast), I really enjoyed it. Indeed, many played an important part in my career. Meticulously researched and I learned a lot.

Meanwhile, he writes out of history the 200,000 British Empire troops who died in WW2
Polish Foreign Minister Radosław Sikorski just schooled Czech Deputy Prime Minister Petr Macinka into accepting that the European Union operates as a democracy.

Populists have nowhere to hide when met with hard facts.

An extraordinary exchange. Well worth a watch.

Reposted by Martin McKee

The main argument against rejoining the EU is that it would "embolden Farage".

Bullshit. It would expose Farage.

It would force him to oppose the majority of voters, remind them that his last "Great Crusader" left us poor and powerless, and force him to admit he wants us to remain that way.

Yes it is! ☘️

We know they don’t as they can take it away from us at a whim …

If this had been 40 years ago it could have been me, as a junior doctor who often hadn’t slept for a week. There are lots of essential workers who have every reason to look exhausted at 8 am

Yes, as far as I understand it, it’s just if you are a UK citizen but only have the passport of your other nationality. I can see that you might need to link it in their database but can’t see why that should cost more than a few pounds (if even that).

Yes. My comment was really about the ridiculously high charge, which is new. On principle I’ve always believed that everyone should have as many nationalities as they can, just to highlight how nationality is such an arbitrary concept

2/ Not just the Brexit queues for the concern that, if anything bad should happen to us, the UK would do virtually nothing to help (or, as Boris did, make it much worse). Simply compare John McCarthy & Brian Keenan in Lebanon.

1/ Fortunately, as someone who travels on an Irish passport, I'm (so far) exempt from this ludicrously high charge. But worth reflecting on why so many of us, with dual nationality, chose not to use our UK one.

www.theguardian.com/politics/202...
Dual nationals to be denied entry to UK from 25 February unless they have British passport
New border controls require ‘certificate of entitlement’ to attach to second nationality passport that costs £589
www.theguardian.com

9/ The goal must not be “more AI” but better health. We need to ask:
* Does the task add value
* Can AI perform the task
* and then, should AI perform the task
All three are important

8/ Governance must be grounded in human rights. The Oviedo Convention holds that the human being takes precedence over science or society. The EU AI Act reinforces this with a risk‑based regulatory framework.

7/ AI also brings risks:
• Reproducing historical biases
• Widening digital divides
• Concentration of power among a few tech giants
• Environmental impacts from massive AI facilities

6/ Keeping a Human-in-the-loop is essential. AI offers probability, clinicians offer judgement. Without proper training, automation bias can lead to over‑trusting machine outputs.

5/ Where AI can add real value today:
• Diagnostics & precision medicine
• Public health forecasting
• Drug discovery
• Operational efficiency
However, health care often involves high stakes, so we need regulatory safeguards

4/ Large Language models don’t “know” facts. They predict the next likely word. That’s why hallucinations happen; plausible but false outputs. There are tools that can help by forcing models to “look up” answers in trusted clinical sources.

3/ AI isn’t one thing. It ranges from simple regression models to deep learning and Generative AI.

2/ AI in health isn’t magic—it’s maths. Much of the hype paints AI as sentient or all‑knowing, but in reality it’s a statistical tool that depends entirely on data quality and human oversight.

🧵1/ Are you mystified by what AI means for health policy? Our new book, from @obshealth.bsky.social led by @paula171.bsky.social with Jasjot Saund, Dimitra Pantel, & myself, aims to help you make sense of this rapidly evolving, and often contested issue
eurohealthobservatory.who.int/publications...
Demystifying artificial intelligence in health: What health policy-makers need to know
A study on demystifying artificial intelligence in health, published by the European Observatory on Health Systems and Policies
eurohealthobservatory.who.int
7/ Our analysis outlines what is at stake, and what Europe can do next. Read the full paper here: www.sciencedirect.com/science/arti...
Geopolitics and public health: Europe under the shadow of the U.S. National Security Strategy
The 2025 U.S. National Security Strategy marks a major shift toward a narrowly defined “America First” agenda with significant implications for Europe…
www.sciencedirect.com

6/ As leaders gather in Munich, the message is clear: Europe must treat health as a security priority, protecting fiscal space for care, defending multilateralism, and resisting pressures that would fragment health protection across the continent.

5/ A more unilateral U.S. stance also threatens global health security: a weakened WHO, stalled pandemic agreements, and more transactional transatlantic relations, all at a moment when shared surveillance and cooperation are vital.

4/ The NSS’s rhetoric on migration and identity mirrors and strengthens Europe’s far‑right narratives. This risks policies that restrict migrant access to care, deepen inequalities, and exacerbate health workforce shortages.

3/ For Europe, the implications are profound. The U.S. call for 5% of GDP on defence forces fiscal trade‑offs that risk crowding out investment in health and social care, precisely the systems that proved essential during COVID‑19.

2/ The NSS marks a dramatic turn toward a narrow America First agenda: reduced multilateralism, weakened global health cooperation, and a reframing of global public goods—pandemic preparedness, climate action, migration governance—as burdens, not shared responsibilities.

🧵1/ As the 2026 Munich Security Conference opens today, Jon Cylus & I ask, in a new paper @lancetrh-europe.bsky.social ,how the 2025 U.S. National Security Strategy reshapes not only geopolitics but Europe’s health and welfare systems.