You don't need to be signed in to read BMJ Group Blogs, but you can register here to receive updates about other BMJ Group products and services via our Group site.

Richard Smith: A crime against knowledge

7 Sep, 09 | by BMJ Group

Richard Smith
Firsthand personal experience of a great crime can make it real in a way that full intellectual understanding will not. Spend two hours in close contact with an African AIDS orphan, and you’ll know what I mean.

I learnt this lesson at the time of the first elections in South Africa that included all adults. I’d seen pictures of people queuing all day at the polling stations and felt ashamed that we in Britain had come to take for granted the right to vote. The day of the election I cycled home past South Africa House in London and saw people queuing to vote, but the reality of it all hit me when I was almost home to Clapham.

I cycled past a black South African friend, who is about the same age as me - and so was in his 40s at the time. I stopped and asked him if he’d been to vote. He had and had had to queue for hours.

“Do you usually have to queue?” I stupidly asked.

“Well, I’ve never voted before,” he answered, probably marveling at my foolishness.

It was my stupid question and the answer that made me feel personally the enormity of the crime that had been committed against blacks in South Africa.
I had a similar experience today when I was speaking to some friends at a medical school in India. I’ve been railing for a decade against the crime of scientific publishers making money from restricting access to scientific research funded with public money, but I felt it inside me as a result of this call.

The medical school has problems getting access to research published in journals. It’s not actually poor, and the current access problem is temporary and arises from various silly misconnections that can be put right. But they are about to run an intensive course on research methods for specially selected students from across India and would like to have access to research in journals.

They had heard that if you could supply a secure IP address you could get access to journals through the British Library. I said that I thought that unlikely but would find out from the library. I rang them, and a knowledgeable and helpful woman explained things to me.

It isn’t possible to get access to all journals online through the British Library, but the library does have a document delivery service. It can deliver almost any article within a few days - for a charge. These articles can be emailed either to a secure IP address or to any email address if encrypted. The charge is £9 plus VAT plus the copyright charge of the publisher, “and,” she said apologetically, “that might be quite high, up to £20 for the big commercial publishers.” The copyright fee can, however, be waived if the institution is something like a medical school.

This seemed promising, although galling, to me, but the twist I felt deeply was that the fee would not be waived for even medical schools if the article was going to be emailed. It could then only be posted or faxed, and faxing is more expensive. This twist of the publishers seemed to me particularly cruel.
That kick made me decide to redouble my commitment to making sure that all research is available open access. Mark Walport, head of the Wellcome Trust, was similarly inspired when he was unable to access for free a piece of research that the trust had funded. Others have been inspired by being asked to pay $25 in order to access a paper entitled “Impediments in promoting access to global knowledge in sub-Saharan Africa.”

7 Responses to “Richard Smith: A crime against knowledge”

  1. [...] BMJ Group blogs: BMJ » Blog Archive » Richard Smith: A crime against knowledge blogs.bmj.com/bmj/2009/09/07/richard-smith-a-crime-against-knowledge – view page – cached You don’t need to be signed in to read BMJ Group Blogs, but you can register here to receive updates about other BMJ Group products and services via our Group site. — From the page [...]

  2. I am so glad I saw this today; I have been thinking, worrying, and wondering what I could do, or what could be done about this problem of restricted access to information.

    I am not a doctor, and am not affiliated with any hospital or school. However, I have recently realized - because of thanks expressed to me by friends, neighbors, etc.- my value in sharing journal information, and new information from other sources, with people who are not researchers or scientists, and who in some cases have never touched a computer. There are people who should have access to info that I would be able to provide to them, but cannot afford to. I feel horrible about that.
    There must be something I can do, or, is there? There are individuals and organizations that I would like to help, but I absolutely cannot, without a subscription to many journals. I would like to talk with you about this … A.M.

  3. Thanks for your insight Richard. I have a simple solution, which is not to cite any literature that isn’t published in Open Access jouranls… Oh dear, the BMJ!

  4. usually, we pay to buy quality products. When it’s food, no one thinks it should be given away freely. So is the case with the expretise delivered by payed-for journals. We rely on these to check out the sources of their research articles and believe that when we pay we get solid truth.
    There is a danger that if journals move to open access they will become more vulnerable to “market” opinions and publish articles based upon their “ratings” value then upon their scientific value.

  5. I can´t agree with Dr Eshel. PLoS Medicine has publicly steered clear of pharmaceutical companies, whereas, as I´ve argued elsewhere, major journals are in some ways extensions of the marketing arm of pharmaceutical companies. About three quarters of randomised trials in journals like the NEJM and JAMA are funded by drug companies, and such trials are at least four times more likely to have results favourable to the sponosr than publicly funded trials.

  6. [...] A crime against knowledge: In South Africa, it’s ridiculously expensive to get access to scientific journals. [...]

  7. [...] access to information then how can we work? Richard Smith of the BMJ writes how in the third world this is tantamount to criminal. Unlike the NHS procurement process there are solutions. The open access debate is where [...]

Leave a Reply

You can follow any responses to this entry through the RSS 2.0 feed.

Latest from BMJ.com

Latest from BMJ.com

Latest from BMJ.com podcasts

Latest from BMJ.com podcasts

Blogs linking here

Blogs linking here