To follow up on my last editorial, where I discussed the need for The Journal of ExtraCorporeal Technology (JECT) to modernize (1), the wheels are still turning, both journal and our sponsoring society leaders are still pondering options for our future directions. Both leaders and readers have expressed strong preferences for our articles to be more readily accessible. Like many journals before us, we need to figure out how to meet such demands while taking care of the business side of things. As it turns out, JECT is more fortunate than many other journals in that we have always had bedrock-solid support from our sponsoring society, the American Society of ExtraCorporeal Technology (AmSECT) since our inception. In a sense, JECT has actually been publishing like a Diamond Open Access (where all publication costs are borne by a sponsor), except we have not been Open Access in terms of article accessibility. As a matter of fact, JECT currently operates on a subscription-based model, with AmSECT members receiving free subscriptions and immediate article access as part of their membership benefits. Open Access publications, whereas use a pay-to-publish model. In return, ALL readers have full, free, immediate access to every article we publish.JECT currently has a 6-month embargo before articles are fully accessible at PubMed Central and at our memberonly journal website. Clearly, our current model is not allowing the full impact of our articles to be felt within and outside our perfusion community. As a society-sponsored journal however, AmSECT is considering adopting a hybrid Diamond/Gold Open Access model whereby AmSECT members benefit by not having to pay Article Publishing Charges (APCs). Non-members will, however, be required to pay APCs which can initially be discounted. In return for APC payments, non-member authors (as well as AmSECT members) will receive the modern features that we have been increasingly asked for, including but not limited to: visibility in major indexes, easy, immediate availability of full-text articles, article metrics including citations, DOIs (digital object identifiers), publication ahead-of-print, and even social media links. As you may or may not have noticed, JECT has increasingly been publishing articles by groups that do not include AmSECT members. Such
