IME the billing-centric view is mostly a US-centric view. If you talk to folks who've done EHR deployments in other countries (my dataset is mostly Canada/UK),

IME the billing-centric view is mostly a US-centric view. If you talk to folks who've done EHR deployments in other countries (my dataset is mostly Canada/UK), a not insignificant amount of work is put into tweaking Epic/Cerner/etc. _away_ from being so billing focused. Your other points still resonate, though anecdotally I've seen less private sector interest in doing analysis over providing infrastructure or other COTS software here.