Taking care of patients requires access to recent and reliable information. In high-income settings, what once involved thumbing through the few well-worn reference books that were close at hand (and, when that failed, paying a quick visit to the stacks in the nearest medical library) has become a matter of typing a search term or two and selecting the chapter of interest in an online, point-of-care reference. The change reflects a matter greater than simply convenience: with an ever-unfolding evidence base, with ever-increasing specialization and complexity, access to the latest information is an essential part of modern medicine. Surely it is well worth paying for?

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