TY - JOUR KW - Humans KW - Manuscript peer review KW - Motivation KW - peer review KW - Peer Review, Research KW - Periodicals as Topic KW - Publishing KW - equity, article processing charge KW - reciprocity AU - David Moher AU - Anna Catharina Vieira Armond AB - Peer reviewers provide a critical role in helping journals keep publishing. To understand the rewards and incentives offered to peer reviewers, we assessed what journals/publishers offered to one peer reviewer in biomedicine over a 1-month period (June 2023). After receiving 88 peer reviewer invitations, we noted that incentives were minimal. They include access to journal/publisher peer review training materials, reduced author processing charges of future article submissions, and free access to the journal/publisher website. Depending on the acceptance rate (30% or 50%) of recommendations to publish the article, peer review from this sample could generate anywhere from $USD 897,000 to $USD 1.45 million dollars when annualized. However, little, if any of this revenue is shared directly or indirectly with peer reviewers. With almost no reciprocity in the peer review process, journals and their publishers need to promote and establish more reciprocity in a system that currently largely favors them disproportionately. This study is an anecdotal perspective of one peer reviewer's experience over a single month. While anecdotal, these findings highlight issues about the fairness and sustainability of the peer review system. We encourage others to expand on what we have done and include more empirical investigations. BT - Accountability in Research DA - 2025-07 DO - 10.1080/08989621.2025.2450451 IS - 5 LA - eng N2 - Peer reviewers provide a critical role in helping journals keep publishing. To understand the rewards and incentives offered to peer reviewers, we assessed what journals/publishers offered to one peer reviewer in biomedicine over a 1-month period (June 2023). After receiving 88 peer reviewer invitations, we noted that incentives were minimal. They include access to journal/publisher peer review training materials, reduced author processing charges of future article submissions, and free access to the journal/publisher website. Depending on the acceptance rate (30% or 50%) of recommendations to publish the article, peer review from this sample could generate anywhere from $USD 897,000 to $USD 1.45 million dollars when annualized. However, little, if any of this revenue is shared directly or indirectly with peer reviewers. With almost no reciprocity in the peer review process, journals and their publishers need to promote and establish more reciprocity in a system that currently largely favors them disproportionately. This study is an anecdotal perspective of one peer reviewer's experience over a single month. While anecdotal, these findings highlight issues about the fairness and sustainability of the peer review system. We encourage others to expand on what we have done and include more empirical investigations. PY - 2025 SP - 832 EP - 837 ST - Publisher and journal reciprocity for peer review T2 - Accountability in Research TI - Publisher and journal reciprocity for peer review: Not so much VL - 32 SN - 1545-5815 ER -