That's a fair argument but in practice isn't true. The pace at the larger health IT shops is FUCKING GLACIAL. I've been through getting an EMR through two meani

That's a fair argument but in practice isn't true. The pace at the larger health IT shops is FUCKING GLACIAL. I've been through getting an EMR through two meaningful use stages in a fifth the time combined than a typical larger shop might've gotten one done, with a tenth the manpower. In verticals like this don't dismiss the advantage of being lean, nimble, and wholly stocked with incredible and enthusiastic people.