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

ADVERTISEMENT

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

  • Removing vaccine advisers could jeopardize lives

    J. Leonard Lichtenfeld, MD
  • Why would any physician believe that the practice of medicine will become less abusive for them in the future?

    Curtis G. Graham, MD
  • The hidden war on doctors: Understanding administrative violence

    Maryna Mammoliti, MD
  • How doctors can stop frivolous lawsuits before they start

    Howard Smith, MD
  • How the 10th Apple Effect is stealing your joy in medicine

    Neil Baum, MD
  • When a doctor becomes the narrator of a patient’s final chapter

    Ryan McCarthy, MD
  • Most Popular

  • Past Week

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
    • Why flashy AI tools won’t fix health care without real infrastructure

      David Carmouche, MD | Tech
    • How the 10th Apple Effect is stealing your joy in medicine

      Neil Baum, MD | Physician
    • Why Medicaid cuts should alarm every doctor

      Ilan Shapiro, MD | Policy
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
  • Recent Posts

    • Reassessing the impact of CDC’s opioid guidelines on chronic pain care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Key strategies for smooth EHR transitions in health care

      Sandra Johnson | Tech
    • How proposed NIH budget cuts could derail Alzheimer’s research

      Tamer Hage, Tejas Sekhar, and Swapna Vaja | Conditions
    • Removing vaccine advisers could jeopardize lives

      J. Leonard Lichtenfeld, MD | Physician
    • Why Medicaid cuts should alarm every doctor

      Ilan Shapiro, MD | Policy
    • What teenagers on TikTok are saying about skin care—and why that’s a problem

      Khushali Jhaveri, MD | Social media

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

Leave a Comment

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

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
    • Why flashy AI tools won’t fix health care without real infrastructure

      David Carmouche, MD | Tech
    • How the 10th Apple Effect is stealing your joy in medicine

      Neil Baum, MD | Physician
    • Why Medicaid cuts should alarm every doctor

      Ilan Shapiro, MD | Policy
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
  • Recent Posts

    • Reassessing the impact of CDC’s opioid guidelines on chronic pain care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Key strategies for smooth EHR transitions in health care

      Sandra Johnson | Tech
    • How proposed NIH budget cuts could derail Alzheimer’s research

      Tamer Hage, Tejas Sekhar, and Swapna Vaja | Conditions
    • Removing vaccine advisers could jeopardize lives

      J. Leonard Lichtenfeld, MD | Physician
    • Why Medicaid cuts should alarm every doctor

      Ilan Shapiro, MD | Policy
    • What teenagers on TikTok are saying about skin care—and why that’s a problem

      Khushali Jhaveri, MD | Social media

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

Leave a Comment

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

Loading Comments...