The decision has been made: we are going to write a medical textbook and publish it both as a book and on the internet. Think back: how many doctors were familiar with the layout of letters on a typewriter 20 years ago? Better still: we are not only adept at word processing but have also become practised layout designers. Do we go to a traditional publishing house or is it more beneficial to produce the book in our own garage? There is sometimes a sense of shame at the idea of publishing a written text ourselves. The argument: publishing houses are seen as a supervisory body, and it is this supervision that awards our texts the seal of approval, sanctifies our work, and renders sacred our Opus urbi et orbi. In the medical publishing houses, more and more doctors are being replaced with economists.

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