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However, in a a lot more fragmented media context there could be the growing diminution of the function of specialist reporters with ensuing loss of baseline technical knowledge, gatekeeping and considerate, investigative health journalism. Our study highlighted that time constraints and entry to resources and technical expertise stay the most important issues for journalists in producing high quality health and medical tales. We additionally found that the derivative nature of most tales fosters homogeneity in story selection and angle and prevents a level of critical journalism. The elevated use of syndicated materials (e.g. Reuters) also erodes localism which, in accordance with Chadwick, “weakens the civic conversation at state, regional, municipal and even neighbourhood stage” . The capability of medical reporters in our study to source and localise tales counterbalanced this.