There's a key point missing from most of the discussion: "In the USA". Also, whether or not it's the choice of the doctors is only tangentially relevant to whe

There's a key point missing from most of the discussion: "In the USA". Also, whether or not it's the choice of the doctors is only tangentially relevant to whether or not it's a failure of the system. Even if money is the only consideration, I'd question whether the system as described is the most effective. Ultimately, a US-based medical administration bills on being able to show that they've done things that they can justify having done. Hobbling the doctors' capacity to actually carry out work impedes that process, regardless of any questions around medical effectiveness. And of course, "going digital" doesn't strictly imply moving to a broken system either.