As senior director of worldwide health for Microsoft Corp., William Crounse, M.D., has become very familiar with the differences between America's health care system and other nations' systems, particularly in the area of information technology.

He's seen how other nations are providing higher quality at lower cost and contends American no longer can be lackadaisical about fixing its system. Information technology isn't the full answer, but it's certainly an enabler, believes Crounse, who was a primary care physician for two decades. "When it comes to I.T., we actually lag most of the developed world."

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