In the health care industry, it is apparent that the goal now is to generate such voluminous internal EHRs that any records request by a layperson will drown them in documents, for example, 400pp corresponding to a 3-day hospital visit.
This generation of excess documentation also permits charging the maximum, even when the output is simply an enormous, unwieldy PDF.
Furthermore, many of the textual pages will consist of TIFF images, being unsearchable and unparsable. Good luck with OCR.