I know that damiana_swan already touched on this, but as someone who works in the graphic design end of publishing, I can tell you that what we do isn't just making pretty pictures and choosing fancy font types. The bulk of what we do is clean up the content given to use from the writers so that they can seamlessly be transferred to various forms of publication. Including print, electronic web-site content, help menu content, interactive PDFs, etc... This includes content QAing (not editing, layout management and design and so much more that I know for a fact that these publications need to go through in order to not come out as crap... after that we do the "pretty stuff". Now... if you are talking about straight up fiction reads... this is minimal. But if you are talking textbook, information content etc... There is some very hefty lifting done by graphic designers and QAers.
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