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Yes. Fax is still used in 2026, and heavily – US healthcare, law firms, Japanese government offices, and German hospitals still send millions of pages a year.
Who’s still faxing in 2026:

Some countries didn’t just keep fax alive, they built modern life around it. Why does an advanced economy still run on a machine from the 1980s? The answers have less to do with being behind and more to do with trust, law, and habit, and they’re stranger than you’d guess.
Apparently, entire industries and countries do. Here’s a list of questions and answers on the technology that refuses to let go.
Absolutely! Fax machines continue to be an essential tool in various sectors like healthcare, law, and government, offering benefits such as security and regulatory compliance. Their unique features, including confirmation pages and the ability to transmit handwritten characters, make them indispensable in certain situations.
Fax machines continue to be used worldwide, with countries like Japan being one of the top users due to cultural preference for paper documents. Certain industries, such as healthcare and law, heavily rely on fax machines for secure document transmission. Despite digital advances, a 2021 study found that an astounding 46% of US small businesses still used fax machines1.
Despite the surge in technological advancements, fax machines are not entirely obsolete. They serve an important role in the secure transmission of sensitive documents, providing security that emails might not offer. They are particularly essential in regions with slower internet speeds or unreliable digital infrastructure, such as rural areas.
Companies across diverse sectors, including healthcare, law, government, and even technology, continue to rely on fax machines for communication. Although they are older technology, fax machines bring a host of benefits to modern-day communication scenarios. Here are some compelling reasons to use fax machines and faxing technology:
In Japan, fax machines are commonly used in homes due to the preference for handwriting and paper documents. Legal professionals often use fax machines to transmit signed legal documents and contracts. Meanwhile, healthcare workers resort to fax machines for transmitting patient records and prescriptions due to privacy regulations.