Does any organization destroy (or relegate to destructive conditions) what it digitizes? If so, this approach may work. If not, digitizing adds yet another layer of infrastructure and expense.

It does feel as if the entire field is in trouble, regardless of what we do or want to do. But can't we step back and find another approach? Can we learn from the medical practice of triage? And maybe institutions are doing it already and that the Heritage Heath Index is a disservice in its gross framing of the issue.