The technical issues are challenging, but the problem space is intrinsically motivating if you "believe in" the space. EHR is one of those rare opportunities w

The technical issues are challenging, but the problem space is intrinsically motivating if you "believe in" the space. EHR is one of those rare opportunities where you can "do good" and be rewarded for it. Further, there is a HUGE amount of bizdev that goes into partner integrations, and you basically can't meet "meaningful use" (a requirement for ARRA money) going it alone. HIPAA compliance, security review, and on and on. Learning about the way healthcare really works in this country has been incredibly eye-opening. Thankfully, I work with really smart people who are all motivated and our company has a few unique strategic advantages. If any great rubyists want to join a company that is iterating our test-driven way to launch, my contact info is in my profile.