Exactly. Vista has pretty lousy UX, but it's implementation across most of the VA it a central part of the VA's much greater efficiency that other systems with

Exactly. Vista has pretty lousy UX, but it's implementation across most of the VA it a central part of the VA's much greater efficiency that other systems with similar populations. Of course, being written in MUMPS (just like some of the other biggies) doesn't help, but the failure of Vista to be implemented commercially has to do with market and human reasons that could have been engineered around. Missed opportunity for the US, really.