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Conservatives Belong in Public Health
Karl Johnson1, Tyler J VanderWeele1
1Karl Johnson is with the University of North Carolina Gillings School of Global Public Health, Department of Public Health Leadership and Practice, Chapel Hill, NC. Tyler VanderWeele is with the Departments of Epidemiology and Biostatistics at the Harvard T. H. Chan School of Public Health, Boston, MA.
None:
Public health depends on trust with the communities it seeks to serve, and yet this trust has historically been difficult to establish within conservative-leaning communities and individuals. Much of the current mistrust of public health professionals is a partisan phenomenon, one that may reflect the progressive slant of programming and policy development within modern public health. In response, we discuss why it would be beneficial to include more conservatives within the profession of public health. We further discuss 6 conservative values-the importance of religious communities and moral narratives, the rich varieties of community expression, the role of the family and other social orders in promoting health, an emphasis on local decision-making, an appreciation for procedural justice, and a cautious approach to large-scale social change-that could help enrich public health theory, research, and practice. We propose several practical strategies for expanding the representation of conservatives within the profession, including surveys of political affiliation, institutions of civil discourse, and intentional recruitment. Public health's mission of serving all people demands a pluralistic, trust-centered approach that explicitly welcomes conservative voices, communities, and ideas. (Am J Public Health. Published online ahead of print July 9, 2026:e1-e8. https://doi.org/10.2105/AJPH.2026.308532).
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