Medical journals in the U.S. are facing significant pressure following a series of threatening letters from the Justice Department. Concerns have been raised about the implications of these government actions, with critics highlighting the potential chilling effect on scientific freedom and expression. Notable incidents include a controversial letter sent to a journal linked to the Cleveland Clinic, which has illuminated fears over government overreach. The New England Journal of Medicine has publicly responded to allegations of bias related to these threats, while various opinion pieces advocate for a robust defense against these attacks. The situation continues to generate outrage among medical professionals and advocates who warn of a dangerous precedent for democracy and medical discourse.