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FOR M Healthcare posed legislation to devote more funds and coordinate federal efforts in this area. It is widely agreed that one of the major impediments to implementing HIT is the financial disincentive

.a study of HIT costs by area found that, in the Portland area, a family of 4 could save over 4,000 annually. The study was conducted after the adoption of state-regulated and mandated health care HIT, but before the passage of the state bill which became the Patient Protection and Affordable Care Act, 2010, with a provision for federal coordination and reimbursement. He also noted that, as of March 2011, Oregon, Washington, and California have passed legislation establishing minimum eligibility for, and funding levels for, health IT systems, with the states having responsibility for planning, designing, developing, and implementing HIT. Oregon has mandated that 100% of health care payments received by private insurers under the Patient Protection and Affordable Care Act be made through electronic records. Oregon is also the first jurisdiction in the nation to require all insurers to cover the cost of implementing HIT for individuals insured as part of employer groups. In contrast, the federal Government has not established requirements that health plans and other participants in the health IT market share in any responsibilities in implementing HIT It is important to note that a comprehensive research project has found that health care systems around the globe are now using HIE to achieve cost savings and improvements in quality. The study, by the RAND Health System and Harvard Business School and published in the December issue of Health Affairs, found that health IT plans across 13 countries are now paying for the costs of developing and implementing HIT. “HIT is a critical component in making healthcare better, and there is no time to lose,” said Dr. Black.” So, one more example that “hundreds” has no value. And here's my final point regarding the “crowd”, it's really NOT what it sounds like We often hear about the “crowd”. We hear about the “network”. “The system is working because people are using it” Well, yes it IS working very well, but only if you have access to many doctors on top of an insurance system with very high costs and a very small system. That's why it's called a “very small system”. HMO's, managed care, and the big managed-care companies have a system where their profit margins are so high that people don't have access to much care, and they only have very high profits. And I say large because there are many HMO's that only have 20 doctors per 100K of patients.

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