Balsamiq, a self-funded and profitable Italian start up says their manifesto is what they live by in order to create a new wireframing tool is easy to use, affordable and gets the job done.
As for Photo Gallery, the only newtool of note is "auto collage" which should let you create spectacularly cheesy montages using seven or more photos, regardless of artistic talent or effort.
Based on past experience in places like the state of New York, a tool that prompts patients to start differentiating among doctors based on clinical criteria could create a political firestorm the Medicare agency is ill-equipped to handle.