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medical and stem journals are actually not because the scientist or or university is paywalling them, but the publishing companies are. many articles are free on places like research gates but not all, yea can pirate them, if your still in a university as a student you get full access to all these journals for free anyways.
My professor just used to ask the authors of the papers for a copy. I don't think anyone ever had any problems with emailing him a copy of their work. After all they want their work to be cited. That's the whole point
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