I think folks are confusing complex IT management in a big complex enterprise with various outsourced vendors and tight SLAs with regulation. Healthcare is lik

I think folks are confusing complex IT management in a big complex enterprise with various outsourced vendors and tight SLAs with regulation. Healthcare is like government in that they had to computerize billing to interact with Medicare and Medicaid first. So some policy decision made 30 years ago by a hospital acquired a decade ago may impact operations today.