The paper is divided into three parts. Part 1 traces the historical events that led to the modern system of scientific research, funding, knowledge dissemination, and recognition, which largely confines health and medical knowledge production to those in HICs [high income countries]. By understanding our shared past and the rise of structural barriers to global health equity, we can better inform our shared path to dismantle them. Part 2 takes a clear-eyed look at where the scientific community is now. Are the ideals of Open Medicine playing out as envisioned? Are the benefits of Open Medicine shared amongst all of humanity, or with only a select few? Lastly, Part 3 offers ideas and recommendations for all stakeholders to chart a path to bring Open Medicine into alignment with its goals and aspirations.
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