Hmm. There are many layers of problems in the healthcare system, EHRs with bad design only one. I will say that small, private clinics who only accept private

Hmm. There are many layers of problems in the healthcare system, EHRs with bad design only one. I will say that small, private clinics who only accept private insurance don't necessarily need to use a federally certified EHR. They are legally allowed to build their own system. One example is OneMedical. When you ask the doctors/PAs/nurses at OneMedical about their EHR, they actually love it. I think the first step would be validating my anecdotal experience here by polling doctors using non-certified EHRs to see if they like them more. If they do by an overwhelming amount, I'd first take that evidence to the Office of the National Coordinator (the government agency created by the aforementioned HITECH Act who makes the certification criteria). I'd tell them that if they vastly simplify the criteria and add more flexibility, they'd make doctors happier. I guess the problem is that happy doctors, unfortunately, isn't necessarily aligned with the existing federal laws. Probably you'd need to pass a new statute at Congress, this time around with the benefit of talking to a lot of people with experience making EHRs.