What most worries me about the Obama Administration is that it never sees the train wreck coming that everyone else sees. It reacts painfully slow to events and gets bit every time because no one looks around the corner for what is next.

Well, it isn’t the biggest wreck coming, but the Departments of Defense and Veterans Affairs are setting up for another failed attempt at interoperable electronic health records. It’s bad enough--morally indefensible actually--that sharing data was not a priority during 13 years of war. Finally, under the Obama administration, the departments were going to implement a shared EHR system. But departmental politics and powerful contractors again trumped care of soldiers and the administration backed down, enabling DOD to commercially contract for its own EHR that would be made interoperable with VA’s.

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