Comment on E-Biomed Supplement A supplement to NIH's E-Biomed proposal appeared on June 20. Articles in SCIENCE (June 20), THE SCIENTIST, and elsewhere seem to indicate (A) the biomedical community has clearly not embraced the proposal; and, (B) Dr. Varmus is intent on going ahead with what might well be a monster more destructive than Frankenstein's. What is the rush, Dr. Varmus? The technology will not disappear. There is no competitive international crisis, as there was following Sputnik. No scientific study provides evidence that E-Biomed will cure or even treat complaints about the performance of NIH. Nothing in the new material explains its urgency. I see three issues of paramount importance that must be resolved before E-Biomed goes further: 1.dangers posed by economic disruption and lower standards; 2. the desire to improve the productivity of NIH programs; 3. the appropriate role of government, specifically NIH. Within these there are legal issues that cannot be casually ruled out. I also offer what I feel are better ideas. 1. Economic Disruption and Lowering Standards: "Offering the international scientific community free, fast, and full access to the entire biomedical literature," which E-Biomed claims to be its most important goal, will have an economic impact. The the proposal avoids this issue. NIH's outline of "an electronic public library of medicine and other life sciences" leaves major questions unanswered: Will E-Biomed hurt libraries and publishers? If institutions' researchers have unpaid access to all the literature on E-Biomed from their personal workstations, why should any university, corporation, or other organization continue to maintain libraries that purchase journals and provide services far beyond, but closely related to, their collections? Will associations of scientists survive? If the entire literature is available on the internet free, why would scientists and students join associations and pay dues? It is true some wish to participate in meetings and other activities, but publications have usually been the primary benefit of membership. The supplement appears to acknowledge that cost-free distribution of articles would undermine the viability of journals. It suggests, "the editorial board [of each journal] would need to consider the means available for recovering the costs of reviewing ... from annual meetings, from workshops ..., or from increased annual fees." With these words, NIH cavalierly evades concerns of the associations and its responsibility for the likely economic devestation of E-Biomed. It dismisses the dependence of journals on library subscriptions to cover first-copy costs and more. NIH's solution is unrealistic, perhaps even preposterous. In the context of the "War on Faculty" [Chronicle of Higher Education. April 16, 1999 B4], "The Treason of the Learned" [Library Journal Feb.15, 1994 130-131], and similar observations going back to the 1970s, it seems clear that E-Biomed serves the agenda of university managers wishing to shed the trappings of intellectual inquiry -- tenure, libraries, academic freedom, associations, copyright, publishers, and publications -- that interfere with nonacademic interests in bureaucratic power. Over the objections of academic senates universities have slashed library spending. Since 1984 higher education spending on libraries has been less than total unspent revenues. For decades prior, library spending was greater. Universities have never had so much money. The trouble is, they have become greedy. What about the Sherman Anti-Trust Act? "Every person who shall monopolize, or attempt to monopolize, or combine and conspire with any other person or persons, to monopolize any part of the trade or commerce ..." Based on the present evidence I would be inclined to vote 'guilty.' The supplement says the system, "would not be owned by the NIH or any other component of the U.S. government." By whom would it be owned? How would it not monopolize, through predatory pricing, the scientific publishing industry after 330 years of private sector operation? How would it not emasculate the hundreds of scientific associations that are involved not only in publishing but in accreditation, policy, and oversight of the various disciplines and specialties. Will E-Biomed eliminate Index Medicus and Medline? With its dependence on what appears to be a totally automated search engine, E-Biomed appears to have dispensed not only with libraries but with the NLM and its labor- intensive services. I seriously doubt that an automated search engine can adequately do the job of Medline, simply based on the preference of many authors and readers for unpredictable jargon. Wouldn't a better idea be to upgrade Medline? Medline's coverage might be more sophisticated. I have a report that indicates 10,000 Medline cites were screened to locate about 400 articles related to "whiplash." More labor-intensive indexing might eliminate the monumental challenge that the literature makes to the researcher before reading and evaluating a single article. The same report indicates that less than 100 articles survived tests for scientific merit applied by teams of specialists. Medline's coverage might be wider. Medline, a true pioneer in electronic publishing and dissemination, indexes over 400,000 articles annually. In spite of the impressiveness of that number, it covers less than a fifth of over 22,000 periodicals received by the National Library of Medicine. It ignores thousands of nonperiodical items received. Medline got the blame for incomplete and inaccurate reports of prior scientific work, real threats to the integrity of science. Apparently, "searchers often go back only a few years (in medicine, for example, three years -- the length of time covered by Medline, the biggest reference data base)." When searchers fail to cover the literature fully, proposals, merit review, and the sponsors all suffer. [Chronicle of Higher Education. April 21, 1995:B1-B2] Many researchers tell me they prefer more specialized databases that offer comprehensive coverage and analysis. Maybe a better idea would be for NIH to foster more specialized resources by improving research overhead for libraries and improving the commercial market for research information. Why is lowering standards of access good? The system of fees and licenses is restrictive. So is the formal publication process requiring peer review. It limits the published literature and its readership to qualified individuals. That is good, not bad, according to the most authoritative comments posted so far. Dropping restrictions as proposed may put E-Biomed closer to talk radio. The reference to Paul Ginsparg's experience has little relevance. Physics and math are relatively small fields. Errors in physics theories are unlikely to affect anyone's health. Snake oil cures and other quackery are typical of medicine, not physics, creating a special need for rigorous oversight by the Food and Drug Administration. The jurisdiction of Federal "scientific integrity" policing extends only to Federally financed researchers. Others are free to report whatever they like, probably with the protection of the First Amendment. Relying on researchers' integrity alone does not seem to be realistic. As the prologue to E-Biomed points out, electronics made communication easier than ever before. Informal exchanges via email have supplemented, perhaps replaced, more traditional channels. This has reduced, not aggravated chronic problems in science communications. No urgency has been expressed by the research community for NIH's solution as far as I can see. When an 'invisible college' wishes to set up an exchange of informal documents in its own specialty, perhaps protected by passwords or limited to a qualified list, no one objects. Many publishers and others (known as aggregators) provide electronic access to their journals, including to backlogs of unpublished accepted papers. I think that the mainstream journals are nearly all available online. True, journals are not free. Why is that problem? The economy is good. Universities have more unspent revenue than ever before! (according to U.S. Dept. of Education and other statistics). If you are concerned that researchers are spending direct grant funds on publications, why not improve overhead reimbursement of their libraries and insist that university upgrade their collections? This is a better idea. Federal research commands sixty per cent of sponsored academic research expenditures. Why does indirect cost reimbursement barely cover ten per cent of library spending? Why was library spending cut while research spending grows? If library spending had kept pace with the growth of research since 1970, it would be more than double. 2. Productivity and performance: One of the most disturbing statements in the original proposal is not mitigated by the supplement. It reads: The active E-Biomed process might be accompanied by a much-needed effort to convert material already published on paper to digital text and image format, with hyper-linked citations. This additional initiative would ultimately allow all users of E-biomed to move seamlessly through the entire body of reported information in biomedical sciences. And it would also enhance scientific productivity and reduce burdens on library facilities. If NIH wishes to enhance scientific productivity, NIH must improve peer review. Within the issue of productivity, the fundamental weakness of E-Biomed is that it simply generates millions of documents, forcing the reader to read, comprehend, and decide. The addition of unreviewed articles to the formal findings and other items indexed by Medline annually only aggravates the problem. The Achilles' Heel of merit review is the degree to which the referee is not informed. Because of the growth of science, a review may require several specialists. E-Biomed, as proposed, asks every author and every referee to be responsible for the entire primary literature. If NIH wishes to improve productivity NIH must emphasize evaluation of reported research, synthesis, and commentary. That would probably mean increasing the burden on library facilities and increasing support for library research. Aside from scientific productivity, the passage reveals a careless attitude toward copyright. This comes at a time when the U.S. government and industry are making constant efforts to protect intellectual property abroad. Two thirds of the science literature is authored outside the U.S. and is protected by foreign copyright and international copyright agreements. Of the balance of articles signed by U.S. authors, a fraction -- perhaps 15 per cent of the total literature -- has a direct connection to NIH. In scientific publishing, the power of copyright to encourage investments has produced an endless stream of innovations. Even during the height of the Cold War, when it is doubtful that any court would have heard a suit for infringement, the Soviets' rights to translations of their journals were respected by U.S. publishers. A better idea than E-Biomed would be for NIH to encourage researchers' institutions to upgrade their libraries and to provide a commercial market hospitable to investment. 3. Ethics and policy. The government built mass transit systems. Everyone benefits when mass transit is used. Why not go whole hog and give free rides at taxpayer expense? I think the answer to this must also apply to E-Biomed. Instead of a radical Soviet-style intervention, why not foster existing publishers and libraries? The U.S. beat the Soviets to the Moon and otherwise by encouraging private sector initiatives in information (even though the Soviets beat us into orbit 10 years earlier). The government rejected investing in a 1958 plan similar in many respects to E-Biomed. The minute we got to the Moon, however, universities savagely cut their library budgets, heading toward ratios common before World War II. During the pre-War period, I am reminded, mainstream science and culture was in Europe. The U.S. sat on the post-Colonial fringe. The potential for return to this era through the decimation of university libraries is a problem that NIH would do well to study. Who discarded the expectation by government planners of the 1940-50s that universities would conserve the knowledge produced by investments in research? University library collections are now inadequate, apparently with the tacit blessing of science agencies like NIH. Now NIH and LANL wish to deliver the coup de gras. Ginsparg mounted his experiment by fiat, in the absence of public comment, as far as I know. Having proved that the public will consume information distributed free at taxpayer expense, Ginsparg can tell us little more than we knew before. The Ginsparg precedent is dangerous in that it may encourage other government agencies to interfere with the private sector without reference to policy or the public interest. Having finished its experiment, LANL's role should end. It should turn its technology over to the private sector and get out of the document delivery business. If selling unreviewed physics articles remains viable, it may yet prove its value. The earliest code of medical ethics required physicians above all to do no harm. One of the most distressing aspects of E-Biomed is that the damage it will probably do to libraries, publishers, and the research community will be unrepairable. There will be no going back once the universities have shut their libraries and publishers are out of business. Albert Henderson Editor, PUBLISHING RESEARCH QUARTERLY POB 2423 Noble Station Bridgeport CT 06608 <70244.1532@compuserve.com>