7 responses

  1. Bobby Gladd
    August 26, 2013

    Thanks for the mention, John. Hope to see you soon. I will be at Health 2.0 2013 in Santa Clara Sept 29 – Oct 2nd. Hope my bay area relo is over by then.

  2. John Lynn
    August 26, 2013

    I hope to see you as well. It always makes for an interesting discussion. I’m hopeing to be at Health 2.0 as well. Just a few more details to work out.

  3. John Brewer
    August 27, 2013

    Is anyone surprised that the government can’t get two departments to interact properly?

    This is hardly the standard by which all should be judged.

    I have long stated that rather than give cash reimbursements, the gov’t should have given out Vista. It’s not perfect, and docs would complain…but how is that different from now?

    I’m pretty sure if given that platform as the foundation, you’d see a huge marketplace open up around it.

    Without that kind of standard, especially for the data structure, creating a nationwide system is near impossible.

  4. Wes Kemp
    August 27, 2013

    John Brewer’s post has helped me to “see the light”. I cannot believe I am saying this, because there was a time when I NEVER would have…but a single-EHR (and single-payer) system really makes sense. Wow, that sounds “un-capitalistic” AND cost-effective. John B. points out that a market would evolve around the single-EHR. I love how he points out that unhappy providers and an imperfect EHR would be no departure from current state.

    No, I don’t believe it will come to pass. I believe millions and billions more will be spent on attempts at EHR interoperability, ancillary interfaces, standards organizations and the like…instead of on things like treating patients and paying providers a living wage.

  5. John Lynn
    August 27, 2013

    Isn’t that what the government did with Vista? They offered with an open source license for free. There is a marketplace that’s formed around it. It’s just not that large.

  6. Bill
    August 27, 2013

    I agree with John B. Offering incentives was definitely not the way to go. Many specialties do not accept Medicare or Medicaid, so there is no incentive or penalty. And honestly, with MU 2 just around the corner, I believe many physicians will just choose not to participate.

    Nor is one EHR provided by the government the solution. Unfortunately, we are way too far down the road now, but much less government intervention is the answer.

    Something to consider. Does anyone find it interesting that government is pushing so hard for docs to adopt all this technology and protect the patient’s privacy at all cost and yet, Medicare cards are still paper with no magstripe and contain your social security number. Hmmmm…. “Do as I say, not as I do.”

  7. R Troy
    August 27, 2013

    Regarding Bill’s comment on Medicare cards; keep in mind, at least as I understand it, that Congress would have to act to change the card. But with a Congress whose main desire seems to be to eliminate any government involvement in health care, followed by cries to shut down the government, don’t expect anything useful to happen. Remember, there are many in the House who believe that Medicare is a Commie conspiracy (think Ronald Reagan’s LP record).

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