Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Why academic publishing is broken — and how researchers are fighting back

Brian Elliott, MD
Physician
April 27, 2025
Share
Tweet
Share

If you’ve ever published or read scientific research, you’ve likely encountered the phrase non solus — subtly attached to over 720,000 research articles in 2024 alone. It’s Latin for “not alone.” In 1620, a Dutchman named Isaac Elzevir believed this phrase reflected the symbiotic relationship between authors and publishers — neither could succeed without the other. He incorporated non solus into his family’s publishing logo, alongside an image of a vine entwining a large elm tree, with a scholar standing nearby. According to Elsevier’s website (the descendent of Elzevir’s family company), the tree symbolizes publishers providing the scaffolding, the vine represents research bearing fruit, and non solus reflects the interdependence between them. But is that relationship still true in 2025?

The reality is that academic publishing in 2025 looks nothing like it did 30 years ago — let alone 400 years ago. Digital access has transformed the landscape, eclipsing traditional print journals. Even within digital platforms, artificial intelligence and automated editing tools have made reviewing and publishing manuscripts faster and more efficient than ever. Research-hosting websites can now be partially coded with AI and run on widely available, affordable content management systems and databases. But if publishing research is easier than ever, why is it more expensive than ever?

The bottom line is that most physicians need to publish to advance their careers, and when for-profit publishers control over 60 percent of scientific publications today, the result is a massive money-making machine. The academic publishing industry is now worth $19 billion. For-profit publishers like Elsevier have capitalized on this goldmine, boasting profit margins exceeding 30 percent — higher than Google, Amazon, and Target. It’s easy to hit those margins when researchers provide much of the labor for free. U.S.-based scientists alone contribute over $1.5 billion annually in unpaid peer review. They also submit research for free — or even pay to publish through article-processing charges (APCs), which at some journals are estimated to be 5–10 times higher than the true cost of publication. This forces researchers to choose between pay-walling their work from the public or feeding the for-profit publishing giants in a pay-to-publish ecosystem.

The problem with Elsevier’s logo is that it’s backward. A more accurate metaphor would be a tree of knowledge — the research — with a vine (the publisher) overgrowing it. Vines are invasive, and like any invasive species, their unchecked growth and selfish demand for resources are choking the native ability of research to thrive. The for-profit academic publishing system, in its relentless drive to maximize profits, has fueled a pay-to-publish model, contributed to research waste, and exploited researchers’ unpaid labor.

Researchers must start working together to make scientific publications a public good that’s actually open to the public. Over two dozen researchers and I founded a nonprofit organization with this purpose in mind. We created the Researchers’ Journal of Internal Medicine as not just a new research journal, but as a new way to publish research. We don’t charge APCs. We don’t hide science behind paywalls. And we don’t use free labor for profits. Instead, we recognize our reviewers and authors with honoraria or charitable donations in their name. Our goal is simple but radical: To remove the profiting middle-man in research and make science truly open.

At its core, academic publishing should be a communal effort to produce and share scientific knowledge. In that sense, non solus holds true — research can’t be done alone. But we can do it without for-profit publishers.

Brian Elliott is a pulmonary and critical care fellow and author of White Coat Ways: A History of Medical Traditions and Their Battle With Progress.

Prev

The school cafeteria could save American medicine

April 27, 2025 Kevin 0
…
Next

Why every physician needs business skills to thrive

April 27, 2025 Kevin 0
…

Tagged as: Primary Care

Post navigation

< Previous Post
The school cafeteria could save American medicine
Next Post >
Why every physician needs business skills to thrive

ADVERTISEMENT

More by Brian Elliott, MD

  • The controversial origin of the Hippocratic oath

    Brian Elliott, MD
  • Questioning medical traditions for the sake of patient care

    Brian Elliott, MD
  • What John Snow and cholera tell us about the COVID pandemic

    Brian Elliott, MD

Related Posts

  • Shift from fighting for reproductive rights to fighting for reproductive justice

    Ira Memaj, MPH
  • Academic medical centers under threat: the impact of funding cuts

    Adil Shahzad Ahmed, MD
  • The diversity-performance trade-off in academic medicine

    Landon Kunzelman, MD
  • A state of service — and how flow can get you there

    Benjamin Borokhovsky
  • Translating social justice into meaningful change for underrepresented minorities in academic medicine

    Keila Lopez, MD, MPH and Jean Raphael, MD, MPH
  • People dealing with addiction belong in clinics — not jails

    Sara K. Zachman, MD, MPH

More in Physician

  • Stop blaming burnout: the real cause of unhappiness

    Sanj Katyal, MD
  • Breaking the martyrdom trap in medicine

    Patrick Hudson, MD
  • What a Nicaraguan village taught a U.S. doctor about true care

    Prasanthi Reddy, MD
  • Public health under fire: Vaccine battle hits federal court

    J. Leonard Lichtenfeld, MD
  • How mindful leadership transforms physician wellness

    Jessie Mahoney, MD
  • How the quietly efficient physician can turn perception into power

    Olumuyiwa Bamgbade, MD
  • Most Popular

  • Past Week

    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • Aging in place: Why home care must replace nursing homes

      Gene Uzawa Dorio, MD | Physician
    • How federal actions threaten vaccine policy and trust

      American College of Physicians | Conditions
    • When the clinic becomes the battlefield: Defending rural health care in the age of AI-driven attacks

      Holland Haynie, MD | Physician
    • Stop medicalizing burnout and start healing the culture [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • The shocking risk every smart student faces when applying to medical school

      Curtis G. Graham, MD | Physician
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why so many doctors secretly feel like imposters

      Ryan Nadelson, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • A physician employment agreement term that often tricks physicians

      Dennis Hursh, Esq | Finance
    • Why taxing remittances harms families and global health care

      Dalia Saha, MD | Finance
  • Recent Posts

    • Stop medicalizing burnout and start healing the culture [PODCAST]

      The Podcast by KevinMD | Podcast
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
    • Stop blaming burnout: the real cause of unhappiness

      Sanj Katyal, MD | Physician
    • Breaking the martyrdom trap in medicine

      Patrick Hudson, MD | Physician
    • What a Nicaraguan village taught a U.S. doctor about true care

      Prasanthi Reddy, MD | Physician
    • ChatGPT in health care: risks, benefits, and safer options

      Erica Dorn, FNP | Tech

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 1 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • Aging in place: Why home care must replace nursing homes

      Gene Uzawa Dorio, MD | Physician
    • How federal actions threaten vaccine policy and trust

      American College of Physicians | Conditions
    • When the clinic becomes the battlefield: Defending rural health care in the age of AI-driven attacks

      Holland Haynie, MD | Physician
    • Stop medicalizing burnout and start healing the culture [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • The shocking risk every smart student faces when applying to medical school

      Curtis G. Graham, MD | Physician
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why so many doctors secretly feel like imposters

      Ryan Nadelson, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • A physician employment agreement term that often tricks physicians

      Dennis Hursh, Esq | Finance
    • Why taxing remittances harms families and global health care

      Dalia Saha, MD | Finance
  • Recent Posts

    • Stop medicalizing burnout and start healing the culture [PODCAST]

      The Podcast by KevinMD | Podcast
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
    • Stop blaming burnout: the real cause of unhappiness

      Sanj Katyal, MD | Physician
    • Breaking the martyrdom trap in medicine

      Patrick Hudson, MD | Physician
    • What a Nicaraguan village taught a U.S. doctor about true care

      Prasanthi Reddy, MD | Physician
    • ChatGPT in health care: risks, benefits, and safer options

      Erica Dorn, FNP | Tech

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Why academic publishing is broken — and how researchers are fighting back
1 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...