We use these in our medical practice. We have no need for all the different tabs and sections and we are not EHR people so these will be in use here for some time. They are inexpensive and best for use when you dont need to constantly use the file: at most we remove a file for a visit 4 times a year. I have had to re do a file folder for a patient because of constant use- we do have some patients who are seen quite a number of times a year but its is rare that I have to do this. The files hold up well and we store them vertically like books in a book case. No issues.