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On my first day as a faculty member of the School of Public Health, my department chair Dr. Ellen MacKenzie asked me to develop a course for graduate students. “Whatever you’d like,” she said. I quickly drafted a syllabus for a class to be titled Politics and Public Health. I thought to myself: Why not? During 15 years working in the public sector, I experienced political pressures of all kinds. I had served as professional staff for a member of Congress, as health commissioner for two mayors, as health secretary for a governor, and as acting commissioner and principal deputy commissioner at the U.S. Food and Drug Administration. “This will be easy,” I imagined as I submitted my syllabus for approval to the school’s Committee on Academic Standards. Rejected. The Committee’s terse explanation to me: “There already is a course on politics and public health.”