Open Access Has a Dirty Secret, Surgical Editors Say - Takeaways - MDSpire

Open Access Has a Dirty Secret, Surgical Editors Say

  • By

  • Kerri Miller

  • April 1, 2026

  • 3 min

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  • 1

    Open access publishing may create financial barriers for authors, shifting costs from readers to authors through article processing charges (APC).

  • 2

    The disparity in APC costs can limit participation for researchers in low- and middle-income countries (LMIC) and unfunded investigators globally.

  • 3

    Approximately 50% of surgical journals now operate under open or hybrid models, while major publishers report significant annual revenues.

  • 4

    The Surgery Journal Editors Group recommends waiving APCs for authors from LMICs and minimizing fees for researchers without funding.

  • 5

    Equitable access to publishing is crucial for scientific representation and patient care, as the current system risks a two-tier knowledge economy.

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