There are two paths of development going on in the world right now. They are diverging. The first is localization. That suggests that systems are getting smaller and seem focused on businesses and practices that are smaller and more focused on people. Up until now, it appears we have been going toward more globalization. This is making systems (governments and institutions less responsive to people and individuals). For a long time, it seemed the level of complexity of customer service was demanding practices become ever larger. As we speak, patients can take advantage of more individual attention and customization.   Rather than grow ever larger in an environment of "one size fits all" patients and customers seek to want a simpler, customizable approach. This may translate to less expensive overhead, improved customer service, and happier patients. Overall, it is reflected in the research on market conditions, demographics, and customer care

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