
Li Wenliang, MD, an ophthalmologist at Wuhan Central Hospital, was among the earliest and most courageous voices to raise the alarm during the COVID-19 pandemic.1 In late December 2019, he alerted colleagues in a private chat group about a novel virus causing severe respiratory illness. Although his warning was meant to caution friends and their families, screenshots of his message circulated widely, attracting the attention of local authorities.
Instead of being commended, Dr. Li Wenliang was reprimanded for “spreading rumors.” Summoned to a police station, he was forced to sign a statement admitting to “misconduct” and promising not to continue voicing his concerns.1 His warnings proved tragically accurate. The virus—now known as SARS-CoV-2—rapidly spread within Wuhan and beyond, igniting a global pandemic.
Dr. Li Wenliang’s dedication to his patients and his effort to alert others came at a tremendous personal cost. In January 2020, he contracted the virus while treating patients. On February 7, 2020, at just 34 years of age, he succumbed to complications from COVID-19, leaving behind his pregnant wife and young child. His poignant final words, “A healthy society shouldn’t have only one voice,” remain a powerful testament to the value of free speech and its critical role in protecting public health.2
Revisiting a Story Once Silenced
Dr. Li Wenliang’s death was briefly noted in a New York Post article on March 3, 2020,3 but, to my knowledge, his story received limited mainstream coverage and was overlooked in Western ophthalmology journals. Sensitive discussions about governmental roles related to the origins of or early response to COVID-19 were largely absent. Four years later, I revisit his story with the clarity of hindsight.
The Shifting Landscape of COVID-19 Discourse
When Dr. Li Wenliang sounded the alarm, discussions about COVID-19’s origins and containment faced censorship in China and global controversy. The pandemic’s narrative has since evolved, bringing previously taboo topics into mainstream discourse.
For instance, early speculation about a laboratory origin for the virus was dismissed as a conspiracy theory, with those suggesting this theory risking social media bans and public backlash. Ongoing investigations, however, have revealed credible evidence supporting serious consideration of the lab-origin hypothesis.4 This shift underscores the need for open, evidence-based dialogue, even on contentious topics.
The pandemic revealed how public health messaging can become politicized. Such politicization often overshadows science and stifles debate. Suppressing diverse viewpoints—often under the guise of maintaining order—has eroded public trust in institutions and media. Recognizing these dynamics is a key lesson from the pandemic.
A Global Hero
Revisiting Dr. Li Wenliang’s story honors his sacrifice and highlights his unwavering commitment to ethical responsibility and patient care. His actions demonstrate that progress often requires courage—the courage to confront uncomfortable truths and act in humanity’s best interest, even at great personal risk.
In a world reshaped by the pandemic, Dr. Wenliang’s silenced voice stands as a call for transparency, accountability, and compassion. In publishing this tribute, CRST recognizes him as a hero whose legacy transcends borders and specialties. It reflects the enduring power of integrity and the need for diverse perspectives in times of crisis.
William F. Wiley, MD | Chief Medical Editor
1. Li Wenliang: Coronavirus kills Chinese whistleblower doctor. BBC News. February 7, 2020. Accessed December 18, 2024. bbc.com/news/world-asia-china-51403795
2. Zhong R. China’s internet police demand personal details from critics. The New York Times. March 16, 2020. Accessed December 18, 2024. nytimes.com/2020/03/16/business/china-coronavirus-internet-police.html
3. China exonerates doctor who warned of impending coronavirus outbreak. New York Post. March 20, 2020. Accessed January 1, 2025. nypost.com/2020/03/20/china-exonerates-doctor-who-warned-of-impending-coronavirus-outbreak
4. Huff AG. The Truth About Wuhan: How I Uncovered the Biggest Lie in History. Skyhorse Publishing; 2022;193-210.