Risen Star
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I personally don't think he was/is medically cleared to play. On the off chance that he was, I would guess that a year layoff would have quite an impact on a coach's decision to bring him back. At the very least, he'd have to be eased back in and the team just doesn't have time for that right now. Speculation on my part, of course.
If Smith feels like he can not only return now but play at an elite level and the doctors won't clear him, then either one of them is wrong or the team doctors share the gutless safe space gene with the head coach.