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The power of the Internet is that there are multiple exciting ways to which the research communication can be presented. Of enormous importance is that for the first time the raw data can be easily retrieved. Outsourcing could produce major cost savings, for example, the Medical Journal of Australia has 26,000 subscribers. It takes 17 people to publish the paper version. If the average wage was $40,000 this would represent $680,000. If most of the work were outsourced to India, the costs might be $6,000 per person, for a total cost of $102,000.