Abstract: Publishing papers in journals has long been an important way to exchange ideas and propagate knowledge. Recently, open access (OA) journals have gained growing attention as they provide greater accessibility to a wider guidance. However, the difference in the financial model between the OA journals and conventional subscription journals has brought many controversies. Some think that the OA financial model can facilitate the growth of medical physics in low? and middle?income countries (LMICs), while others have significant concerns about financial burdens that OA can bring to potential authors will hinder medical physics research in LMICs. This is the premise debated in this month’s Point/Counterpoint.