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The editorial on the global cost of silencing science jointly published by seven international medical journals—The BMJ, Deutsches Ärtzeblatt, Journal of Korean Medical Science, Lancet, Medwave, New Zealand Medical Journal, and Tunisie Médicale—rightly warns that political interference in the United States corrodes scientific integrity.1 But the silencing of science is not bounded by one country or one administration. In many low and middle income settings, a quieter mix of political patronage, commercial pressure, and chronic underfunding suppresses inconvenient findings—often in the very places where health burdens are greatest.