Although many of the trends have genereal applicability to healthcare delivery, all of them were chosen because of their particular relevance and importance for the future of pathology and lab medicine, frequently using an informatics lens to assess them. See what you think. I am going to rework this lecture shortly for another presentation and have already decided to replace one of them, the last, with a reference to the growing separation between the hospital domain and the physican office/large clinic/ambulatory surgery center domain. This will have a huge effect on the practive of patholgy as discussed in previous notes (see, for example: More on Integrated Diagnostic Centers; Trend or Lukewarm Idea? ). Obviously, the purpose of a presentation such as this is to encourage the reader to react and adapt to the changes, if necessary and appropriate for one's own postion.