I'm just explaining the economics of an academic journal. They make money by selling the journal. That depends on how highly the journal is regarded by the academic community.

If they're under any economic pressure, it is to provide good (meaning repeatable, reproducible, and that adds to or changes our knowledge) content and to keep costs of editing and peer review down. They don't derive any income from big pharma.

Big pharma certainly produces slanted research, but that's not related to the big medical journals. They're independent.

Big homeopathy and big alt-med have their own journals. That's because no journal trading on its reputation would publish that crap, and they kept getting shot down in the policy space for not having any published research. So we have to suffer that pollution of the scholarly literature.

How is that shilling? And who do you think it is shilling for? Big Academic Journal?