This is a revised version of David Goodman, "Open Access: What Comes Next." Learned Publishing 18(1):13-23 (2005) The present revision adjusts the figures, their corresponding legends, and discussion to match the Note added in proof in the published article. The published article itself has the Note added in proof only, since it was not practical to adjust the figures. The changes here are sufficiently great that the author considers this version independent, and has consequently given it an altered title. This article examines the effects that present decisions about Open Access (OA) will have over the next ten years. It will be shown that the consequences are affected both by deliberate choices of policy by librarians and publishers, as well as by the adoption of various alternatives by scientific authors. The eventual result could be excellent, or quite otherwise.