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Global health care expenditure has been projected to grow from US $7.7 trillion in 2017 to US $10 trillion in 2022 at a rate of 5.4% [1]. This translates into health care being an average of 9% of gross domestic product among developed countries [2,3]. Some key global trends that have led to this include tax reform and policy changes in the United States that could impact the expansion of health care access and affordability (Affordable Care Act) [4], implications on the United Kingdom's health care spend based on the decision to leave the European Union [5], population growth and rise in wealth in both China and India [6-8], implementation of socioeconomic policy reform for health care in Russia [9], attempts to make universal health care effective in Argentina [10], massive push for electronic health and telemedicine in Africa [11], and the impact of an unprecedented pace of population aging around the world [12]. From clinicians' perspective there are many important trends that are affecting the way they deliver care of which the growth in medical information is alarming. It took 50 years for medical information to double in 1950. In 1980, it took 7 years. In 2010, it was 3.5 years and is now projected to double in 73 days by 2020 [13].