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Editors often discuss and are asked to predict the future of publishing. As many of you are aware, during the past decade the greatest debate has centered on "open-access"—that is, should all scientific material be free to the public and scientific community. We have settled into a steady state with respect to this issue—most journals still require some form of payment, grant unlimited access after 6–12 months, but are free immediately to the poorest countries in the world. What about other issues? Certainly the registering of clinical trials has become important – in part to safe guard against any manipulation of data. Will the print edition of journals survive? A recent article in NEJM indicates that there has been a significant decline in the money spent by the pharmaceutical industry on advertising in journals.1 Nevertheless adverts do remain a substantial source of income for some journals. Publishing groups are just
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