Well, here's my contribution. Let's see if this gets on his blog!
Dear Secretary Leavitt,
I have always pictured the role of government to protect the rights and liberties of its citizens. In the case of pushing for unfunded mandates such as e-prescribing, and CCHIT, the government is using its power to eliminate small solo-physician practices like mine. In our community, large entities such as corporate owned hospital and FQHCs have virtually decimated the private practice of medicine. E-prescribing companies by virtue of technological and marketing resources required are limited to a few companies (Allscript and Surescript). This is basically government endorsement of these companies. These entities will continue to suck whatever revenue that we hard working independent physicians are able to make with the restrictive anti-competitive policies that the US government has placed on small practices. CCHIT will force limitation of choice of EMR to a few high priced (unaffordable to small practices running on thin margin).