"We welcome The Lancet's stance on open access (April 6, p 1166).1 We note that you wish to review how you can make all publicly funded research as accessible and usable as possible. However, we also note that even with the announced changes, The Lancet will still have less free access than other key general medical journals. For example, there is free access to all research articles in The Journal of the American Medical Association (JAMA) after 6 months from 1998, in the New England Journal of Medicine after 6 months from 1990, and in The British Medical Journal immediately from 1840 onwards."