Blessed with the luxury of time, I opted to ride the Amtrak down to New Orleans for this year's MGMA conference. I love taking the train because it helps me stay connected in so many ways that air travel can not-both by witnessing the ever-changing landscape out the window (we're zipping through central Mississippi as I write this, a land of green if there was one) and by hob-nobbing with other passengers in the dining car..

Here I am invariably reminded how vast the health care industry is. You don't have to sit very long before encountering someone who works in it. The MGMA-bound physician from Milwaukee in the opposite cabin gave me an earful about the EHR--it upends their practice's workflow to no end, he said. And it's easy to find people outside the industry who have concerns about healthcare from the consumer point of view. The world of the electronic health record that so riled my traveling physician companion is pretty remote to these folks.

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