The problem with a lot of these systems is they connect to so many legacy platforms that almost anyone that tries is doomed. It's going to take a full ground up

The problem with a lot of these systems is they connect to so many legacy platforms that almost anyone that tries is doomed. It's going to take a full ground up approach and I don't think anyone has the stomach for that. The VA alone until fairly recently was still siloed not only by medical practices within the org, but by regions, as well as provider. It's not uncommon for someone to get care at one VA and have no records visible.. but have had major surgery at another. Throw the Oracle icing on this and you know it's likely bloated and slow doing the few things it can.