And when the internet arrived, attitudes, expectations, and loyalties towards physicians shifted and as patients became willing to seek virtual and global care and expected cheaper healthcare.  Patients gained a new sense of medical expertise and demanded rights and ownership of their information and care, relying on 'Dr Google' adn social networks for expertise.  the heathcare ecosystem increasingly shifts accountability on the physician and data supporting diagnosis, treatment, and billing is an added and exhausting burdent.  
Data is critical in making coordinated care decisions and enabling accurate billing, and the same data required for care provision is also used to assess and defend physician decision and judge the quality of care.  As the joy of work is being extinguished.  Physicians are selling out to large managed care systems as a last gasp effort.  And then came along Altias, which is where our story begins...