In the response and Q&A to Brailer, we’re told that adoption can happen in small offices and by PCPs. But CMS in California has been handing out some incentives for smaller groups (something called the Docket program) and only 256 out of 15,000 PCPs have so far expressed an interest. As the guy from CMS region said, this is disappointing.

Now the conversation has veered off as to whether we should all use the VA system (Vista). Come on people, the reason that doctors don’t use EMRs is not because the software costs too much or hasn’t been any good. In countries where they do use it a) the government paid for it all (including the hardware) and b) they were told they had to use it!