> First, the way these EHRs were rolled out, under federal mandate, was a fucking fiasco Yes, it was a land grab sparked by ARRA stimulus money. As long as som

> First, the way these EHRs were rolled out, under federal mandate, was a fucking fiasco Yes, it was a land grab sparked by ARRA stimulus money. As long as some of these rollouts took, I argue they didn't adequately capture the needs in healthcare environment. The healthcare process is very complex and many assumptions were made on the vendors in order to meet deadlines, leading to many hiccups in an already complex process. > I'm a little tired of griping from physicians about having to do paperwork Again, yes! There are plenty of physicians who consider anything remotely clerical as beneath their level and insulting to their position. Unfortunately, poor UX has only given them a louder voice. This results in abherations, eg. CPOE done by the physician logging in with his credentials then offloading to nurses or MAs for the actual entry. > There needs to be (...) more use of EHRs that is driven by their utility, more competition among provider models, greater consumer access to drugs and healthcare options Unfortunately the tendency is in the opposite direction, with massive consolidations. Big groups took the ACO model and realized they could just buy out the small practices and be one big group. To your last point, its an interesting thought that in our supposedly free market healthcare, we have more clinical micromanagement by various bodies (JCHAO, AF4Q et al.) than some other countries with supposedly "socialist" healthcare.