No matter what an epidemiologists' philosophical view is on the neutrality of their science, it is inescapable that their research is produced and used in a non-neutral world. Simply producing "objective", "dispassionate" scientific research only guarantees its use by the rich and powerful to maintain their power. For example, most scientists are not actively building systems of neocolonialism, but the fact that neocolonialism shapes our institutions is a reality. Therefore scientists who work in those systems can either engage in decolonial practice or not, but if they don't then they are implicitly accepting the perpetuation of those systems.