I have yet to see a "good" EHR. The top dollar solutions are at best usability nightmares[1] and since every major vendor is based out of the US, they all optim

I have yet to see a "good" EHR. The top dollar solutions are at best usability nightmares[1] and since every major vendor is based out of the US, they all optimize for billing/CYA over reducing clinician workload or increasing the standard of care. Do healthcare organizations cheap out on critical software components or modifications? Absolutely, all the time. Do they also spend exorbitant amounts on these bad-for-everyone-but-administrator systems? Also yes. I agree with the point many folks have made about targeting the right audience: just consulting the C-suite is a surefire way to create software end users will hate. [1] https://news.ycombinator.com/item?id=18735023 https://news.ycombinator.com/item?id=18735023