Thanks for the clarification, Mark.
I'm pretty sure that doctors and patients want important information to be freely transferrable, because patients have to constantly be changing doctors and hospitals as the insurance contracts change.

I am also pretty sure that despite lip service paid to that goal by hospitals, insurance companies and EHR vendors, that their best interest is served by forming impenetrable silos and fighting like hell for market share - patients and doctors be damned.

My eyes just glaze over, and I get a hollow, crawly feeling in my gut when I read about it.
I just can't stand what a total disaster the American medical "system" is becoming.


Tom Duncan
Family Practice
Astoria OR