Imagine a vibrant field of scientific inquiry. Researchers focus on solving the most urgent uncertainties of the discipline and publish papers that, guided by reporting guidelines1 and further improved by pre-publication peer review, provide comprehensive accounts of their methods, findings, and limitations. The research community, keen to advance the field, engages in an active dialogue regarding the validity and implications of each new paper. Post-publication critique, as the final arbiter of the meaning of each new communication, is no less important than the earlier phases and is a sign of a healthy scientific community, a community actively working to move the field forward.2 3 4

In the linked study (doi:10.1136/bmj.c3926),5 Gøtzsche and colleagues’ finding that authors of BMJ articles are reluctant to respond to criticisms submitted as rapid responses reinforces the finding of the few previous studies,4 6 7 which found consistent evidence that all aspects of post-publication review are wanting in medical research. Most research articles in medical journals receive no …