Health care I.T. is one frustrating mess. There are lots of reasons: One huge problem is the government incentivizing people to buy really lousy technology, and trying to force-feed standards from a lofty perch in Washington to an industry that’s craving for innovation. But the biggest issue is the qualifications and lack of experience of I.T. people in government, at provider organizations, and at HIT vendors. Fortunately, or unfortunately, depending on your perspective, the payers (except the government agencies) have oodles of I.T. experience and use it to their advantage--but more on that in a future posting.

My central point for this blog is that I constantly hear all sorts of pie in the sky uses of "technology" that will somehow drive down costs and improve care. As I’ve argued in the past, I don't think so. At least most of what’s talked about by government bureaucrats or M.D.s-turned-systems-architects is pretty high up the improbable scale. This is exactly what one should expect when re-inventing the wheel.

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