I find the more interesting change is in the process of discovery. Being heard against the din of all the voices is hard and we have a large industry dedicated to just that. Marketing and advertising are important and often necessary. But they easily become pathological and there is no sharp distinction between spin and fraud. In fact they often overlap. Of more concern is the sheer volume of noise as the “in your face” motif becomes increasing necessary. At least in the view of those vying for attention.