My take away is close to the opposite, having worked around healthcare IT for many years.  Systems are antiquated, un-integrated, use archaic and proprietary languages and databases, and the lack of cohesive design for usability encourages most clinicians to keep using paper.<p>IT as currently and usually practised, especially in a healthcare environment, is also mostly a disaster in terms of value for expenditure.   $2 billion for an Epic system in a regional hospital system... Which was obsolete before it was installed.  Heck, the Deustche Bank SAP core banking replacement only cost $1 billion.<p>Much of the &quot;oh but it&#x27;s regulated&quot; excuses are just that, excuses to be ignorant and stay stuck in the 1970s.<p>It doesn&#x27;t have to be this way, but it requires a lucky administration to find a way out of the mess given the market for lemons in IT management and systems integrators in healthcare.<p>Open source and Cloud solutions (from an operating model perspective way more than technology) appear to be the only way out of this mess of &quot;your mess for less&quot; IT because it lifts the veil of sales, consultant-speak, and opaque RFP processes in favor of actually-working-and-reliable software that anyone can see and touch.