On paper.

The Canadian Medical Association Journal (CMAJ) will reduce its print publication frequency to 6 times a year starting in 2025, aiming to decrease paper and postal service usage by 40%. Despite the shift towards digital formats, a survey revealed that 83% of print readers prefer the tangible experience of reading the journal. The decision to reduce print issues reflects a balance between fiscal responsibility and environmental sustainability, aligning with the CMA's commitment to a net-zero health care system. [Extracted from the article]