Pay isn't the issue for hospitals buying software, they are already paying big money to vendors. And they often can't take their money elsewhere because of cont

Pay isn't the issue for hospitals buying software, they are already paying big money to vendors. And they often can't take their money elsewhere because of contracts. I heard 10 years lock-in for an EHR solution. Lots of software churn is probably bad for medical workers too if they are constantly retraining in high stress environments - they might be technical but may not be comfortable with computers. Building your own software is do-able for some aspects (to avoid paying millions for a simple web app), but most hospitals are not going to want to build their own EHR software or other large pieces.