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I would be surprised if new tech like this really sees meaningful adoption. This is the same industry that can't even get rid of MUMPS[1], the worst hybrid data

I would be surprised if new tech like this really sees meaningful adoption. This is the same industry that can't even get rid of MUMPS[1], the worst hybrid database/language atrocity ever. [1] https://en.wikipedia.org/wiki/MUMPS https://en.wikipedia.org/wiki/MUMPS

justinjlynn 5y ago
MUMPS is a really fascinating system to study. It has some good ideas (integrating data storage and the application implicitly with operating system management, sort of a protofilesystem) and some really bad ones (every datatype is basically just a string >_>). It's very clearly a first generation system but the fact that it has stuck around in its applications a bit longer than it should've is, at the very least, a point of interest. FWIW, healthcare does integrate new tech relatively rapidly if it provides a sea-change in patient care and, primarily and somewhat less fortunately, profitability.
- shakna 5y ago
  > FWIW, healthcare does integrate new tech relatively rapidly if it provides a sea-change in patient care and, primarily and somewhat less fortunately, profitability. One of the issues when it comes to healthcare, unfortunately, is that inefficiency in technology is often a driver of profitability. Removing inefficiencies in certain sectors has a noticeable downwards effect on profits, but a less noticeable effect on improving patient outcomes. Overall care may be increased, but generally over much longer and harder to measure terms.
- throw0101a 5y ago
  > some really bad ones (every datatype is basically just a string >_>). Tcl says hello. :) * https://wiki.tcl-lang.org/page/everything+is+a+string https://wiki.tcl-lang.org/page/everything+is+a+string * https://news.ycombinator.com/item?id=21377517 https://news.ycombinator.com/item?id=21377517
- throwawy5777 5y ago
  > every datatype is basically just a string Wow! Like they invented nosql ahead of its time
  - nradov 5y ago
    There were a wide range of "NoSQL" databases in production use long before SQL (or even the relational model) was ever invented.
    - rbanffy 5y ago
      And many of those have data types.
nl 5y ago
This isn't true. Models get replaced all the time - they usually only have a single integration point and little connection to the business of healthcare. MUMPS will never be replaced because there's no incentive for the industry to move away from it.
- ejb999 5y ago
  >>MUMPS will never be replaced ... Never is a very long time. Things change.
  - nl 5y ago
    > Never is a very long time. Things change. Yes that's fair.

justinjlynn 5y ago

MUMPS is a really fascinating system to study. It has some good ideas (integrating data storage and the application implicitly with operating system management, sort of a protofilesystem) and some really bad ones (every datatype is basically just a string >_>). It's very clearly a first generation system but the fact that it has stuck around in its applications a bit longer than it should've is, at the very least, a point of interest. FWIW, healthcare does integrate new tech relatively rapidly if it provides a sea-change in patient care and, primarily and somewhat less fortunately, profitability.

shakna 5y ago
> FWIW, healthcare does integrate new tech relatively rapidly if it provides a sea-change in patient care and, primarily and somewhat less fortunately, profitability. One of the issues when it comes to healthcare, unfortunately, is that inefficiency in technology is often a driver of profitability. Removing inefficiencies in certain sectors has a noticeable downwards effect on profits, but a less noticeable effect on improving patient outcomes. Overall care may be increased, but generally over much longer and harder to measure terms.
throw0101a 5y ago
> some really bad ones (every datatype is basically just a string >_>). Tcl says hello. :) * https://wiki.tcl-lang.org/page/everything+is+a+string https://wiki.tcl-lang.org/page/everything+is+a+string * https://news.ycombinator.com/item?id=21377517 https://news.ycombinator.com/item?id=21377517
throwawy5777 5y ago
> every datatype is basically just a string Wow! Like they invented nosql ahead of its time
- nradov 5y ago
  There were a wide range of "NoSQL" databases in production use long before SQL (or even the relational model) was ever invented.
  - rbanffy 5y ago
    And many of those have data types.

nl 5y ago

This isn't true. Models get replaced all the time - they usually only have a single integration point and little connection to the business of healthcare. MUMPS will never be replaced because there's no incentive for the industry to move away from it.

ejb999 5y ago
>>MUMPS will never be replaced ... Never is a very long time. Things change.
- nl 5y ago
  > Never is a very long time. Things change. Yes that's fair.