While most of the rest of the world is enjoying the benefits of sharing, mobile access, and consolidation of multi-location medical images, Australian health care providers have been left in the outback. The Australian Privacy Law at both the federal and state level, punctuated by the Federal Privacy Act 1988 last amended in 2012 and its Australian Privacy Principles, basically prohibit moving any type of medical record whether electronic or not, outside of the confines of the continent. This means that any medical image vendor would have to locate data storage exclusively within the country, with no risk of transport beyond its borders. This makes the investment required to create “cloud” based medical image storage much more expensive since it must be tailored specifically to these Australian guidelines. Most vendors have balked at these requirements.