Very badly, as this 50 minute talk given by Lawrence Lessig on 18 April at CERN shows, followed by concrete suggestions about what to do about it. Lessig hits the nail on the head about how restricted access to scientific knowledge actually is, unless you happen to be a member of the "intellectual elite"; and if you are a member of the intellectual elite (a tenured professor in a rich-world university, or a student at one) the restriction on access is obscured from you.
The Architecture of Access to Scientific Knowledge from lessig on Vimeo.
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