The High Cost of Medical Publishing | Rich Dubin | S9 - E13

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If you've ever tried to get clinical research published, you already know the frustration. If you haven't, buckle up—because what happens behind the scenes of medical publishing is much uglier than most people realize.

This week on The Pod of Inquiry, we sit down with Rich Dubin, publisher and founder of Lower Extremity Review (LER) and LER Expo, to expose the realities of modern medical research. With over 35 years on the inside, Rich breaks down why publishing has become practically obstructionist, detailing the multi-thousand-dollar "access fees" and technicalities that keep good science hidden.

We dive deep into why major journals often act more like pharmaceutical pamphlets than independent science platforms, and how Rich is fighting back by building an alternative model that successfully reached over 25,000 physicians last year alone.

In this episode, we cover:

➡️The hidden costs and gatekeeping in medical publishing.
➡️Why the incentives in major medical journals are broken.
➡️How LER built a virtual CME model that delivers real editorial vetting.
➡️Game-changing data on peripheral nerve decompression for diabetic neuropathy (and why reulceration rates drop from 40% to 3%).
➡️The truth about "paper tigers" and captured medical societies.

👤 About Our Guest:
Rich Dubin is a publishing veteran with over 35 years of experience in the medical space. He is the founder and publisher of Lower Extremity Review (LER) and LER Expo, championing independent science and providing vital, accessible education and CME credits to thousands of physicians worldwide.

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Timestamps:
00:00 Meet Rich Dubin
01:58 Rich's Origin Story
03:19 Co-Founding Biomechanics Magazine
04:26 Navigating Corporate Acquisition
06:01 Launching Lower Extremity Review (LER)
07:09 The Birth of LER Expo
07:18 The Struggle to Publish Clinical Research
09:52 Journal Integrity & Pharma Influence
10:20 The Outrageous "Access Fees"
11:33 The Gatekeepers Journal Club
13:39 Open-Access vs. Traditional Journals
14:28 Advertising & Editorial Independence
18:44 LER's Massive Reach & CME Credits
19:44 The Editorial Vetting Process
21:26 A Memorable Rejected Submission
23:38 "Paper Tigers" in Medicine
24:29 Accountability & Speaker Ratings
29:20 Peripheral Nerve Decompression Evidence
31:19 The Adoption Gap in Medicine
32:58 The Evolution of Minimally Invasive Surgery
36:09 Game-Changing Data on Diabetic Neuropathy
37:35 Pharma Marketing vs. Clinical Modalities
38:37 "Captured" Medical Societies
41:24 Genuine CME Engagement
43:18 Virtual Education vs. Hands-On Training
45:02 The Power of Proper Referrals
46:07 Breaking Down Specialty Silos
50:51 How to Connect with LER
52:15 Closing & Outro

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