The Lancet recently released its long-awaited COVID-19 commission report. The report well reflects the current state of public health science and addresses the business needs of the Lancet. It may have been naïve to expect more than that, but health is an important area and should be taken more seriously. The level of obfuscation of evidence, misrepresentation of prior knowledge, and disregard for diversity of scientific evidence and opinion does not reflect well on either the Lancet or the commission itself. It would be good if this reflection could be proven false.