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Shouldice can publish the paper on their own web site. And the Hernia journal also publishes open access articles. If you want to add to the discussion, find out out how the decision is made to publish as a pay-per-view versus open access. Who makes that decision?
I am actually disparaging the hernia repair industry in whole. “They” (the people involved in the industry) have created a narrative of “informed consent” but the information that the patients need to be informed is often hidden behind paywalls.