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Commentary & Perspectives

Open Access Has a Dirty Secret, Surgical Editors Say

Surgery journal editors outline recommendations to address cost disparities affecting LMIC and unfunded researchers

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  • 1

    Open access publishing may impose financial burdens on authors.

  • 2

    The disparity in APC costs limits participation from low- and middle-income countries.

  • 3

    Recommendation to waive fees for specific authors from LMICs.

  • 4

    Transformative agreements offer a solution but have caps.

  • 5

    Current system risks creating a two-tier knowledge economy.

Original Source(s)

Open Access Has a Dirty Secret, Surgical Editors Say

  • by Kerri Miller

  • April 1, 2026

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