Understanding grows when scientific knowledge is shared.

Yet in 2025 some journals still gatekeep important research.

Like this review of links between depression & inflammation.

$35 if you aren't at an institution with a subscription.

Imagine if a library that charged $35 to read a book?

That's enough friction to keep the knowledge from most of the globe.

Every time I encounter knowledge gatekeeping in a health related journal I wince.

I wonder if the American Journal of Psychiatry has considered the costs to the field, and our global mental health, of staying closed?

The thing is, I can personally read these articles thanks to my institutional affiliation.

But the momentary friction as I cross through the paywall reminds me that most people can't.