What in the world is going on there. We are pulling the plug on Picis.

However, reducto ad absurdum, if only one person bothered to vote, would it be OK for them to impose their will on everyone else. (I think there’s a new movie out about that.)

Is it “not bothering to vote” if you fail a “literacy test” as was employed in the South in living memory? What about if you’re a “felon” as defined (wrongly) by the State of Florida and are denied the right to vote?

So somewhere in here there’s a slippery slope.

Of course, if I’m the only one voting, then this is all OK by me

As far as funding, I’m not even sure how a publicly-funded AMC could do a mainstream vendor EMR implementation at the same time, none of them have that amount of money! I didn’t have that issue, and I can’t imagine how much more difficult that additional challenge would have made it. Since the cost for training comes at the end, I don’t think you want to see that part get cut, or your system will fail. I recommend to delay.

Thanks for your comments. I am aware of the direction in which you lean politically, and I am not attacking you. I am always interested in civil discourse. We have had growing government regulation in the healthcare market for decades, and yet we are ever more unsatisfied with it! If something does not work, why try so hard to reform it? Why not tear it down?

I must disagree with your analysis of the American political spectrum. Conservative and right-wing are not interchangeable terms, though they are often presented that way. Conservative and Republican are also not interchangeable. While some conservatives may be Republicans, the majority of Republicans do not qualify as conservatives, McCain included. Truly, it is our terminology that is at fault here. There are Taft Republicans, Goldwater Conservatives, Neoconservatives, Paleoconservatives.

After reading more abut the AAPS, I might have to donate to them. I like their style.

To your comments on the voting population of the U.S.: well, we really only worry about those who trouble themselves to vote, don’t we? Many of the European states, have a national holiday for election day. What an excuse for a day off. Motivated citizens will vote despite the obstacles. As for Australia: I did not realize they were so totalitarian. Compulsory voting? I can’t imagine such a thing in an ostensibly free country. Voting is no mark of freedom, many tyrants are elected by democratic means (Hitler, Hussein, Bush, etc.). Coerced voters will never think of anything other than themselves. No wonder Australia gave up its guns.

Your funding crisis is caused by weak internal controls over budget and expenses. No theft just poor management. To fix the problem, you need to focus on re-gaining control over this core management function. I know that the notion of EMR ROI has been beaten to death but is it logical to continue with this expensive project or would it be more prudent to simply put this project on hold for a year until finances stabilize and the institution can focus on adoption?

Real situation, looking for the group’s thoughts. No sense in beating on the organization for the problem, as Gregg Allman sang they are well aware of them.

Best,