Richard Smith is a British medical doctor, editor, and businessman. He is director of the Ovations initiative to combat chronic disease in the developing world. The initiative is funding centres in China, Bangladesh, India, Pakistan, Tunisia, Tanzania, South Africa, Central America, and the US Mexico border. He is also Chairman of the Board of Directors of Patients Know Best. Previously he was chief executive of UnitedHealth Europe, a subsidiary of the UnitedHealth Group that works with public health systems in Europe. Before that he was editor of the BMJ, and chief executive of the BMJ Group. Smith worked for the BMJ for twenty-five years, from 1979 to 2004, the last thirteen as editor. Smith is a proponent of open access publishing. He was editor of the BMJ when the journal first moved to online publishing, and made the journal's archives freely available. He sits on the Board of Directors of the Public Library of Science, an open access publisher of scientific and medical research. He was editor in chief of the open-access Cases Journal, which aims to create a database of medical case reports.