Neil, part of the issue is that groups such as Hesperian and the Red Cross have decided against using actual open licenses. This inhibited people other than themselves from promoting and distributing their material. It of course is there choice to use closed licenses, but it is still unfortunate as it decreases access. I guess this would be a lack of political commitment.
MD, CCFP-EM, Wikipedian
HIFA Profile: James Heilman is a Wikipedian and works with Wiki Project Med Foundation, a charity whose mission is to make clear, reliable, comprehensive, up-to-date educational resources and information in the biomedical and related social sciences freely available to all people in the language of their choice. He is an Emergency Room Physician in Cranbrook, British Columbia, and a Clinical Instructor at the University of British Columbia.
Email: jmh649 AT gmail.com