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Dear ME-P Colleagues,
“Don’t pull the knot tight,” the philosopher Ludwig Wittgenstein once warned, “before being sure you have got hold of the right end.” Those who hope to sort out the tangle of eMRs and NPIs would do well to heed his advice.
Doctor Anonymous
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You are an interesting Sunday enigma, Dr. Anonymous. You provide a cryptic warning not to carelessly “pull the Knot too tight,” quoting of all people Philosopher Ludwig Wittgenstein – who believed that giving money to the poor only further corrupts them – whereas the rich (like Bernard Madoff) are naturally immune to earthly temptations.
Here is what I find intriguing about your mysterious choice of protagonists: Wittgenstein is known in my neighborhood as the “Father of Obscurantism” – the notion common to all forms of totalitarianism that only society’s leaders and rulers know what is best for the people. Somehow, I don’t think you randomly chose Wittgenstein. I suspect you are a sportsman, like me.
Come on, Dr. Anonymous. Who is this really? And which end would you suggest we pull? Or would you have us believe that you are in agreement with Herr Ludwig, and consider that it is better for the common good to avoid admitting that a knot even exists?
D. Kellus Pruitt; DDS
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Following the Money
I’ve suspected for some time that although inter-operable eMRs and eHRs may have the potential to improve medical care quality and save money; most of that money will flow to payers, insurance companies, state and federal governments, etc.
At least, this has been the partial experience of some experts, in both the integrated systems in the US, and in health systems in Europe. And, there are those of us who think that as much as $2.4 trillion in the system is wasted – and that HIT might be part of the solution to trim that waste.
Read this article by Robert O’ Harrow, Jr. in the Washington Post, on Saturday, May 16, 2009.
Link: http://www.washingtonpost.com/wp-dyn/content/article/2009/05/15/AR2009051503667.html?sub=AR
But, who will ultimately economically benefit, if successful? I don’t think it will be patients or providers!
Dr. David Edward Marcinko
[Publisher-in-Chief]
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