Open access (83) Introducing Q4: How would YOU design an OA system that retains the benefits - and fixes the problems! - of the current OA system?

2 November, 2025

Thanks to HIFA members for the great discussion and ideas related to open access (OA) thus far. The discussion has been enlightening and we are eager to hear even more perspectives and experiences from researchers, clinicians, patients, advocates, policymakers, funders, and everyone else with an interest in OA publishing.

We would like to conclude this deep dive discussion with one final summative question:

How would YOU design an OA system that retains the benefits -- and fixes the problems! -- of the current OA system?

We are eager to hear creative ideas. Build upon what's worked. Throw out what hasn't. Be flexible, be innovative. By pooling our collective experiences together, hopefully we can design a system that will lead to better access to health information for all!

HIFA profile: Indi Trehan is a physician-scientist and academic researcher based in Seattle, United States. He is a professor of paediatrics at Seattle Children's Hospital; adjunct professor of global health and epidemiology at University of Washington; investigator at UW Global Center for Integrated Health of Women, Adolescents, and Children; and investigator at Seattle Children's Research Institute Center for Clinical and Translational Research. He has published in many different journals, some open, some hybrid, some closed. He has run into the various issues with trying to get funding for open publishing access. He is also an editor at multiple journals and has mentored many junior researchers in both HICs and LMICs on how to navigate open access issues. He is a member of the HIFA Project on Open Access. https://www.hifa.org/support/members/indi indi AT alum.berkeley.edu