Open Access (OA) to research publications is a fundamental resource for the advancement of scientific research. To facilitate the transition to OA, publishers and institutions have begun negotiating the so-called transformative agreements, contracts combining access to subscription journals with the ability to publish OA. While the debate on transformative agreements is very much alive, little attention is being paid to the "green road," the practice of openly self-archiving manuscripts that have been accepted by journals but not yet typeset. Here we focus on medical literature, showing how the green road could outperform transformative agreements as a means of increasing the full and free availability of peer-reviewed scientific papers.
Keywords: Open access; cooperation; medical research; open science; post-prints; public health; transformative agreements.