If you work in a highly regulated space subject to e.g. HIPAA, and you work with ancient on-prem systems within a slow moving and risk intolerant organization -- for instance, virtually every state run healthcare system in the US -- then these are all you can hope for.

In these settings, data is insanely messy beyond your wildest nightmares and hidden away in free-text fields that small models like this are great at cleaning up, normalizing, parsing, categorizing, etc