World is changing with private practices foreseeing dismal future.

The biggest cardiology group in Lansing, MI will be bought by Sparrow Hospital. End of 40 yr old history.

http://www.tciheart.com/handler.cfm?event=practice,main

We have seen a HMO staff model Clinic liquidating in Lansing.

Another hospital - IRMC wants to give Allscripts EMR to physicians to integrate the records.

I hear these are national trends- practices bought by hospitals and hospitals giving EMRs.

Who pays for the support of EMRs given by hospitals?