After much research and planning, I am installing SBS Essentials server -- Thank you Sandeep, Bert, et. al. Not in place yet (I'm on vacation on the Big Sur), but I'm sure it will be better than my current Win7 32 bit 2G setup-- which itself is amazingly proficient and reliable, by the way.
A colleague has just decided to go with some "cloud" based solution -- I can't even imagine what he is thinking. It is costing him $750/mo per provider (there are two of them) and he has no access to data if the internet goes down, no access to his data if he forgets or is unable to pay the monthly fee, limited ability to switch to a different EMR (he doesn't own his own data, the way I understand it.)
Out here on the edge of the continent we have pretty good DSL service most of the time -- it's plenty fast to use RemoteDesktop with Dragon Naturally Speaking, for example. But I don't trust it to be always there.
Actually, we make paper backups of all our notes -- we can, and have more than once -- run our office by flashlights and a portable generator. Winter storms are major problems sometimes.
