Under previous copyright legislation and jurisprudence, medical, and to a lesser extent, educational professionals, were afforded broad discretion under the judicially created fair use doctrine. The Copyright Act of 1976 creates a statutory definition of fair use and prescribes a test to be used in determining when a use is "fair" and when it is infringement. Central to this test is "impact of potential market value" of the material. Biomedical communication involves material with a very high unit cost which is not offset by anything approaching mass distribution. There is no special exemption for, or understanding of, biomedical communication in the new law, with the result that the potential for a restrictive impact is great.
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