HIPAA (among other things) makes it Not Fun™ to be in that space. It&#x27;s not that it isn&#x27;t ripe—almost overripe—for an overhaul, but that the bureaucratic requirements tend to attract, well, bureaucratic types and reject people of a more &quot;disruptive&quot; nature. There&#x27;s no particular reason why software and systems that can pass audits can&#x27;t be as pleasant to use as any; it&#x27;s just a matter of assembling a team of people that is creative, has both an aesthetic and ergonomic sensibility, and doesn&#x27;t mind the kind of working environment that the process (and the auditors&#x27; interpretation of regulations; it doesn&#x27;t matter what&#x27;s actually required if nobody will certify that you&#x27;ve met the requirements) demands.