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Productivity in science, technology, engineering, mathematics, and medicine (STEMM) is never culturally neutral. Dominant productivity regimes count outputs such as publications, grants, and response times while rendering invisible the relational labor that sustains student persistence, faculty wellbeing, and institutional belonging. This Perspective argues that mainstream productivity norms function as gatekeeping mechanisms sustained by coercive institutional isomorphism, and that relational labor is not service overhead but core scholarly output.