Dear editor, the recent report by Yessirkepov et al. (1) is very interesting. Yessirkepov et al. (1) noted that "there are still many unresolved issues related to the English language barrier, lack of indexing status of local journals, and poor topical education on science writing and editing" and noted that "the number of articles published in 'predatory' journals remains sizable, and there are concerns over authors' negligence and plagiarism." Indeed, the observation from Kazakhstan is not much different from other countries else. The problem of English language is very common in any countries where English is not the native language. Due to the requirement of the publication before graduation and the growing number of students, it is no doubt that the publication in gray and non-indexed predator journals is common. The interesting issue is on the unethical practice, especially for plagiarism (23). Indeed, some researchers mention that increased academic pressure might be the cause of plagiarism and misconduct (23). Yessirkepov et al. mentioned for the concern but did not additional discuss on the possible solutions. The preventive action of the problem is a really topic for further discussion in medical society (4). In addition, with the increased dependence on the indexing and impact factor, the authors try to push their works for publication in the high-rank journals. This can be result in predating of some indexed journal. The challenging new paradigm is the "responsible research and innovation" rather than "broader impacts (5)."