A report that is about to be published in the International Journal of Health Services Research is drawing a connection between the Fukushima nuclear reactors and an apparent 14,000 excess deaths in the US. This contradicts a recent study by EPA. The logic is far from causal, however. In the 14 weeks after the disaster, there were 14,000 more deaths in the US than during the same period in 2010. Geographers need to be aware of physiologically and epidemiologic plausibility. There is no proof that any of the deaths are connected to acute radiation exposure. In terms of causality, at a minimum, a mechanism must be articulated that links the effects of radiation and the deaths in the US. We must be circumspect in interpreting this evidence.