The main problem is that hospital administrators and doctors have very different incentives. Administrators want to bill as much as possible, whereas doctors want to take care of patients. However, administrators are the ones who make purchasing decisions so EMRs are <i>built for administrators, NOT doctors.</i><p>People say that EMRs are awful (And I used to think that). But the truth is that they&#x27;re just not built for doctors, they&#x27;re built for the hospital. And they&#x27;re doing a great job at increasing billing, to the detriment of doctors productivity.<p>As an analogy, imagine a tenant &#x2F; landlord relationship with a sink problem. The tenant asks the plumber to change the whole sink whereas the landlord asks the plumber to find the cheapest hack to fix it. The plumber has no choice but to listen to the landlord. The tenant and their friends blame the plumber for doing a shit job. But hey, soon after, a startup knocks at the door of the tenant and offer to change their sink for the best-of-the-market.. but the tenant would have to pay himself so he politely declines and stick to his old shitty sink.