On medical publishing Smith is the author of the book
The Trouble with Medical Journals (2006, ), 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. He has also written about the limitations and problems of the peer review process. In 2014, in an interview with
New Scientist, he argued for criminalisation of research fraud.
On open access publishing 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, an open access publisher of scientific and medical research. He was editor in chief of the open-access
Cases Journal, which aimed to create a database of medical
case reports.
On cancer 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. His remarks provoked outrage. 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. Smith responded and tried to clarify some of his points in a follow-up blog post on 5 January. ==References==