During the Zika virus epidemic in 2015 to 2016, journal signatories, including JAMA Network, made all content related to the virus free to access.1 The COVID-19 pandemic further revealed the importance of open-access publication to public health and health equity. In May 2018, between these 2 epidemics, founding Editor in Chief Frederick P. Rivara, MD, MPH (University of Washington), and Deputy Editor Stephan D.