A call for plasma

Today I read "that Ohio State researchers and clinicians have found a way to take plasma from someone who has recovered from COVID-19 and deliver it to patients who are currently battling the virus to aid in their treatment and recovery." Hey, that's great news. But in that e-mail people who'd had Covid19 and been symptom free for 28 days were urged to donate plasma. Huh? Don't we have a billion dollars worth of EMR in Ohio and the other 49 plus DC and territories so some researcher can data mine our health records even if our MD has to call for it? Doesn't Dr. Brix always say, "the data show?" If the first known death was Feb. 29 in the U.S. and it wasn't in Ohio and many had it and didn't know it, maybe even me or you, should everyone who's had a mysterious cold or cough since the fall be tested?

Ohio has had less than 8,000 confirmed cases and barely over 2,000 were hospitalized. Doctors' offices are swamped with calls from clients who can't even be tested without all the signs. Surely somewhere in all those computers there's a record of the people to contact.

And President Trump will probably be blamed for OSU not knowing where to look for donated plasma. After all, isn't it his fault he didn't close down the economy before anyone had died?

Arthritis and diversity social policy

 

Two friends have described to me their terrible problems with rare forms of arthritis, so today I decided to look at NIH and see what sort of research was going on at the federal level of support.  That took me to The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS).  The first statement I encountered was not about this challenging debilitating constellation of diseases, but about diversity!  Yes, that diversity--they've even changed the name of the Precision Medicine Initiative to All of Us. Read the message of the "guest director."

Since its inception, the Precision Medicine Initiative® (PMI) Cohort Program — recently renamed the All of Us^SM Research Program — has been deeply committed to diversity. This commitment was inherent in the President’s vision when he announced the program in January 2015, with the goal that this massive new effort scale the benefits of precision medicine across health statuses and across populations.

 Our goal is for people of all ages, races and ethnicities, sexual orientations, and socioeconomic statuses to join us in this unprecedented effort. To achieve this, we aim to build trust through intensive community outreach and engagement, maintaining the highest standards for security and privacy, and providing a meaningful value proposition to the people who generously share their information with us including through a firm commitment to returning research information. We share with NIAMS the commitment to multicultural outreach and the goal of bringing populations historically underrepresented in biomedical research into the fold — and ensuring that precision medicine discoveries yield meaningful advances to all communities across the United States

Good luck, sir, on sorting out the "diversity" goals of this administration with transgendered folks who don't have the cell, muscular or bone structure of the sex they are pretending to be. Be careful or your researchers will be called transphobic.

The guest director, Eric Dishman's message also alerts us to the real reason for the Electronic Health Records foisted on us and medical community through ARRA funding in 2009 at great cost, from which it hopes to use our data.  Good luck if you need mine or my husband's, because it takes months to move them a mile or so down the road from Riverside hospital to our doctor's office.  A carrier pigeon would move faster.

Eric Dishman and Ted Talk

http://www.healthcareitnews.com/news/eric-dishman-exits-intel-head-national-institutes-health-precision-medicine-research

Hacked medical records

We are faced with reading 4 pages of "Notice of Data Incident" about my husband's hacked medical records on August 2. Name, address, telephone numbers, email, birthdate, patient ID number, SS number, account information, driver's license/government ID, medical and health insurance information and identifiers and diagnosis and treatment information. That, of course, can be linked to any other databases including the county's (even I can access a floor plan and photo of your house at the auditor's site), donations, organizations we belong to, etc. A perfect profile to be sold on the internet to create a "valid" ID for an illegal or criminal. The advice, since it's like putting toothpaste back in the tube, is to enroll in Equifax so we can receive fraud alerts and identity protection. Big whoop. Why is their information any more secure than the government's or our medical office? The advice is for us to remain "vigilant" and frequently review our credit statements. As if that's the only thing a criminal can do with this information. 

Every medical office in the country was forced by the federal government into these online systems (at a huge cost) and they don't even work well. Our information between practice networks could have moved faster by courier pigeon, and it wasn't even correct. The EMR requirement was a rush job, and a gift to the IT lobbyists with no studies done on whether EMR would reduce costs or save lives.

It also shows us how easy it will be to manipulate the vote in November.

Preparing for surgery tomorrow

[This is what I wrote in an e-mail, but I'm just leaving it here in case you're researching what to do.]

My head explodes when I think what we pay for these EMR!! How many billions ($27 billion in 2009) and there wasn’t a shred of evidence from any studies it would help health care.

 

We just had a call from the hospital (9 a.m. Tuesday) from a clerk checking all the details for surgery tomorrow. We have to call between 2-4 p.m. today to find the hour of the surgery on Wednesday. The hospital still didn’t have any of the test results from his complete physical on Aug. 16—different doctor, 2 miles down the road. Carrier pigeon could have done it better. And as I think I mentioned before, his internist never received the results of the scans 3 weeks before his physical. Also the hospital had him listed as 5’11”, high blood pressure and cataract surgery. None of that is true. I’m wondering what other Bruce’s medical records got folded into his. He’s about 5’8”, no problem with blood pressure ever, and his eyes are fine. Always, always, have another person checking. The lobbyists for IT made a bundle on this, but at our expense. 

 

Rant over. I’m going to vacuum to blow off steam.

 

http://www.prnewswire.com/news-releases/report-electronic-medical-records-market-nears-25-billion-300066515.html

 

http://www.hitechanswers.net/about/about-arra/

 

As a bonus, here’s what I wrote about this problem 7 years ago:

 

I stopped by to pick up a prescription at my doctor’s office because the “electronic transfer” of information between that office and the pharmacy I used hadn’t been able to manage the job in 3.5 days, and I was out (old methods of fax and phone aren't used anymore). Normally, I would have just told the receptionist what I needed, and my file (paper) would have been retrieved (human). No. I waited about 10 minutes as she struggled getting the right screens up, then worked from screen to screen, asking me questions I didn’t know, like date of my last appointment and address of the pharmacy. A line was forming behind me. When she finally found it, she said there was no record from the pharmacy requesting permission for a refill, but the doctor would decide.

That night we got a call from the doctor’s office that “it was ready,” i.e. the prescription script. My husband went to pick it up and waited about 15 minutes in line as the receptionist struggled with the screens of 2 or 3 people ahead of him. Fortunately, it was in a paper envelope with my name hand written on the outside. We can only hope and pray that the national “network” that Obama is forcing thousands of small offices to buy into (causing many to close their doors), doesn’t work any worse than what you’ve all experienced at the local level as your doctor or clinic transitions.

Data mining our medical records

There wasn't a shred of research or evidence that electronic medical records included in the Obamacare pre-package would improve health or reduce costs, but the benefits to IT companies and researchers had them salivating. I just noticed this on a recent story. Did we give anyone the right to use your records for research? Probably signed away our rights to privacy without reading the small print.

"Researchers from Houston Methodist and Stanford University used computer algorithms to scour some 16 million records from nearly 3 million patients to find which of them had taken medications for gastroesophageal reflux disease, or GERD, and how many of them had heart attacks."

The EMR boondoggle

Electronic Medical Records (EMR) are a health mandate that was included in Obama's stimulus, ARRA in 2009 ($19 billion). There was no research; no evidence it would improve health; not a smidgen that EMR would reduce costs. But what a boon for IT companies which must have terrific lobbyists. Those doctors who were already computerized, had a do-over, with either a penalty or a reward for doing it. So what is EMR really good for? Data mining. 70,000 new codes. A caller to the Glenn Beck show today was reading some of the codes: this was priceless, "walking into a lamp post, first encounter" and "walking into a lamp post, second encounter." Another one had to do with an alien space craft. This will allow government bureaucrats to decide who gets the grants to decide where lamp posts should be, and who is crazy enough to get medical help after finding an alien space craft.

I had an appointment with a pulmonologist this week (I’ve been diagnosed with asthma, and they can’t find an inhaler I can tolerate), and the whole practice was in a uproar over their new computer system.  For a week they had coaches from some computer firm with them.  Last fall, I went through the same thing at my internist office; every thing has to be reentered, you sign a digital signature, and have your photo scanned into the system.  Lots of mischief when not only all your identifying information is residing in cyberspace but it’s linked to your photo and signature.  My internist’s office and the pulmonologist’s office records are not compatible, by the way.  I spoke to the doctor about EMR.  “Nothing but data mining,” he said.  “Useless for health care.”

http://focusonthepatient.com/2013/03/10/emrehr-monsters/

“Although the chief goal has been to improve efficiency and cut costs, a disappointing report published last week by the RAND Corp. found that electronic health records actually may be raising the nation’s medical bills. “ New York Times

“Despite the government’s bribe of nearly $27 billion to digitize patient records, nearly 70% of physicians say electronic health record (EHR) systems have not been worth it. It’s a sobering statistic backed by newly released data from marketing and research firm MPI Group and Medical Economics that suggest nearly two-thirds of doctors would not purchase their current EHR system again because of poor functionality and high costs.” Medical Economics

It began with ARRA, which we were told was a “stimulus.”

Although today Jan. 1, 2014, is the starting date for the insurance, Obamacare actually started in 2009 with $19 billion in the ARRA stimulus. It didn't stimulate anything except the bottom line of electronic medical records companies. There is no research showing EMR will save money or improve health. We have it as a result of a huge lobbying effort. You've seen how even private companies (like Target) struggle with stolen records, even my research information at OSU was compromised--just wait until your medical information is stolen from a national database. In my recent stay in a local hospital, the EMR couldn't even make it 2 miles down the road to my doctor's office. http://www.anh-usa.org/your-medical-records-are-part-of-a-19-billion-experiment/

And despite these billions of dollars and the perceived benefits of EHRs, physicians continue to hesitate in implementing fully functional electronic health record (EHR) systems. Even with incentives, systems are expensive and productivity hits are a major concern, but the major cause? Unlike other highly specialized, specifically tailored health information technology solutions, EHRs are awkwardly, poorly designed to be one-size-fits-all—and studies show they never do. The incentive program is slowly drawing eligible healthcare practitioners into the EHR fold, but the lack of specifically tailored EHR systems means that the U.S. will continue to lag the rest of the world when it comes to establishing a fully integrated, cost-effective health care system.

http://www.talkchart.com/blog/index.php/why-is-ehr-adoption-lagging-behind/

Information such as social security numbers, addresses, medical insurance numbers, past illnesses, and sometimes credit card numbers, can help criminals commit several types of fraud. These may include: making payments from stolen credit card numbers and ordering and reselling medical equipment by using stolen medical insurance numbers.

A key finding from the report is that fraud resulting from exposure of health data has risen from 3% in 2008 to 7% in 2009, a 112% increase.

http://www.informationweek.com/security/risk-management/emr-data-theft-booming/d/d-id/1087881?

http://www.nejm.org/doi/full/10.1056/NEJMsr1110507

EMR being updated during a doctor’s visit remind me of texting while driving

Yesterday I had my first appointment with my new internist as a follow up to my hospitalization in Sept. (my doctor is no longer seeing patients). If there's something more off-putting than having a doctor you trust and have known for years staring at a computer screen, it's got to be having no eye-contact and puzzled looks with one you don't know at all while she's reading and trying to figure out what's in your electronic record. It's like trying to have an intimate conversation with someone browsing their smart phone and never looking up. Upon leaving my appointment, I stepped on the elevator with someone reading her phone; she looked up when I spoke to her, smiled, and looked back at the phone and we continued in silence. I think I know her about as well as my new doctor.

Over 80% of EHR systems force the doctor to enter and manage the data in cumbersome, inflexible and artificial fashions that rarely reflect the true nature of the doctor-patient experience. Physicians have often adapted and learned how to be “texting” while driving through patient encounters, but many patients are increasingly uneasy with the situation where they don’t have the full attention of their doctors.

http://focusonthepatient.com/2013/03/10/emrehr-monsters/

Texting While Driving is now the leading cause of death for teens:
1. Makes you 23X more likely to crash – National Hwy Transportation Safety Admin.
2. Is the same as driving blind for 5 seconds at a time – VA. Tech Transportation Institute
3. Takes place by 800,000 drivers at any given time across the country
4. Slows your brake reaction speed by 18% – HumanFactors & Ergonomics Society
5. Leads to a 400% increase with eyes off the road

http://www.textinganddrivingsafety.com/texting-and-driving-stats/

Now we know why Obama wanted electronic medical records, unproven to save money or lives

Free at last--from pain--guest blogger

A former colleague of mine comments on my comments on Dr. Blumenthal's 2 part series on HITECH which appeared in December in the New England Journal of Medicine. I was concerned about a number of issues, including the rush to push it through and the shaky privacy issues, but here's an alternate view of how advances in digitized health records mandated by PPACA could benefit the patient. She is now pain free after surgery and it has given her back her life, but some of her experiences in getting there were extremely unpleasant.

I thought this was an excellent article evaluating the benefits and challenges of bringing one part of American health care into the 21st century. I recommend we all read the full Blumenthal article. It's short and accessible. I took away something very different from it. It left me hopeful that things might change for the better.

Although we all rightly are concerned with the privacy of our health care data, as the article mentions, paper data is not secure either. But online data does present more challenges because no system is un-hackable. However, that's not a good excuse to stay in the 19th century forever.

My doctor's office automated their records and system a few years ago, making him an early adopter. There was slow down in the first 6 weeks, they told me, but then it got VERY efficient. When I go in now, it is faster, he knows exactly which tests are due and he prints out any prescriptions right from his laptop or faxes it directly to the pharmacy. He spends time talking to me, not flipping through paper files looking for previous test results, which are all on his laptop. I love it. He does too. After the initial few weeks of learning the new system, everyone in his office is fluent in it and very efficient.

None of these systems are developed from scratch in each doctor's office. They are turnkey systems with training provided. So the analogy of creating LCS from scratch isn't comparable.

Here's my example of why I think a state-of-the-art health care information system is desirable. Before my second hip surgery, I was in a wheelchair and in excruciating pain. I realized I couldn't keep working unless I got "real" painkillers. So I was referred to an OSU-affiliated pain clinic.

The biggest fear that pain clinics have is that patients will game the system, get painkillers from multiple doctors and sell them on the black market. This does happen. But I didn't realize that this fear made some pain clinics abuse their patients.

The waiting room was NOT filled with 20-somethings in black leather strung out on illegal drugs. It was filled with about 30 moaning elderly middle-class men and women, some in wheelchairs, some with canes or walkers, most were accompanied by worried relatives. One women was in such pain, she passed out during the wait. The office staff wouldn't help her. She said: "They do that to get sympathy so we'll give them drugs."

Her husband, who was almost shouting, had to be calmed down by other patients and we all demanded someone come out and help her into the bathroom to put cold water on her face, since not of us was strong enough to help her out of her wheelchair. They begrudgingly helped this "potential" drug abuser.

When it was my turn to be seen, the questions the doctor asked had to do with whether I was being seen by another doctor and if I was getting drugs from them too. If it had been said for my benefit to make sure I didn't overdose on a combination of things, it would have been appropriate. But it wasn't. It was an interrogation that implied I was a drug addict trying to cheat the system. I had never been treated so nastily by a doctor and I was really surprised. But pain clinics act this way because there is NO WAY TO CHECK RECORDS TO SEE IF OTHER DOCTORS are also handing out prescriptions. Finally, the doctor said he'd give me a prescription, if I passed the drug test, which was required of everyone.

So I went to the drug testing clinic he mandated. I had to be there in 20 minutes (or it was invalid), so I wouldn't have time to get a "clean" sample elsewhere. If you've never had a drug test (some states want all welfare recipients to pay for one themselves, before they can sign up for benefits), it isn't as easy as you might think.

A same-sex attendant accompanies you into a bathroom and watches you. You pee in a cup while someone watches your hands to make sure you don't substitute another sample. It was not handicap-friendly. The commode was on a platform in a small room with nothing I could hold on to easily. Because of my hips, it was excruciatingly painful. It was humiliating. I thought of the women in their 70s and 80s in the waiting room of the clinic who had to do this. It made me angry at our backward system.

The clinic said the test was a nominal cost, like $30. (Just like states say the charge will be nominal for welfare recipients, who must pay for the drug test themselves.) Turns out it was $250. I refused to pay that much and after weeks of arguing over paperwork, the price was changed.

Had there been a centralized health information system in place, this entire traumatic episode would not have been necessary. The pain clinic could have pulled up my x-rays, seen the bone-on-bone hips, seen I had no other prescriptions, and prescribed an appropriate painkiller. Instead, they were ruled by fear and lack of information. The prescription they gave me was inadequate; the surgeon said he didn't know how I managed the pain with only what the clinic prescribed me.

I, and all those suffering people, would have gotten better, cheaper, less humiliating care. The people who REALLY are gaming the system might be caught faster and punished. The insurance companies and we might have saved a small amount of time and money, but multiplied by millions of people resulted in huge savings, if there had been an investment by the government to create a unified medical information infrastructure.

I'm afraid of abuse of medical information. But that won't keep me from wanting to have a modern medical information system to allow better care, better tracing of public health concerns (like food poisonings from unknown sources), better tracking of outcomes using different types of procedures, and brings us closer to the care provided by other industrialized nations.

Do you know where you should move if you are a Type 1 diabetic? FRANCE. Because they have proven the slower speed of their dialysis treatment provides better patient outcomes and longer life. U.S. hospitals don't have a system to track outcomes, unless they do a special (costly) research study, because we don't have any medical information infrastructure. So we do what the insurance companies will pay for, which is the faster version, which results in more deaths for US diabetics than in other industrialized countries overall.

I went to my doctor years ago with what could have been either food poisoning (after eating at a new restaurant) or a flu bug. I asked him if other people in the area were coming in with similar symptoms, in case it was food poisoning. His answer: we don't have any way of knowing. They would have gone to different doctors and no information is shared. How's that for public health? We have to wait for multiple people to die to find out if there is a public health issue in an area, because deaths are reported.

I know I'm not going to convince anyone who, like the clinic doctor, is guided primarily by fear of abuse. But I believe shared medical information is vital to us as a country and as individuals. Everything can be abused. That clinic was so afraid of abuse that they were abusing people in a different way, by treating everyone as a criminal. They provided expensive, inadequate care. They had no way to track the outcome of the treatments they prescribed or even if their patients lived or died.

The only follow-up I ever received from the pain clinic was a post card a few years later saying they moved to a new address. We deserve better health care than this.

This is certainly an eye-opener, however, if patients can be abused in such a manner with face to face, 21st century care, I can hardly see EHR improving on that!

Faith--in electronic health records

Some people riducule those of us who place our faith in God. How about those who place faith in electronic health records to solve a myriad of problems in the health "system." The faith we the people/patients, the medical community and the federal government put in electronic health records is just amazing. Here's a brief list--you can probably think of more.

• reduce costs
• track physicians' performance
• improve decisions at all levels
• connect patients with caregivers, clinical staff, care coordinators
• 24/7 access to medical help
• special clinic access
• e-mail, wireless, monitoring of patients
• home evaluations
• improved nutrition and exercise compliance
• transportation services

Noticed in an editorial in JAMA, Jan. 4, 2012--not that the author claimed to have faith, but was simply musing about all the wonderful thing EHR would bring. Any chance $27 billion in stimulus funds stimulated this faith? It looks like just another way to kill off the small medical practice by raising their costs beyond which patients can tolerate.

Having practiced medicine in both paper and electronic environments, [Jaan] Sidorov says an EHR for a group practice is, at best, a wash economically-even with federal incentives. "The cost of these systems is eye-popping, and while the price has fallen, the total bill still includes hardware, software and support. Common sense about the flow of patients and economics doesn't make me believe that doctors can recoup these costs on the back of patient billing."

And if the economics at the group practice level are murky, the prospects of lowering overall health care delivery costs is downright farfetched, Sidorov says. "On the macro-economic level, we are moving chairs around on the deck of the Titanic."

Much more here.

Jaan Siderov's blog, Disease Management Care

Speaking of privacy

Apparently there are some who don't believe the government (layers and layers of departments of people) can keep a secret, so Patrick Kennedy (D-RI) wants to exclude records about AIDS, STDs and abortion from the electronic health records that are going to be required of all of our doctors. Doesn't that seem a little odd? Is that a racist smear against the President, Pelosi and Reid to find one more thing wrong with this plan? I just don't recall seeing that before. Do you suppose it was slipped into another funding bill, like armored vehicles or old growth forests?

What you can expect with government health care

After Obama succeeds in destroying your current health insurance plan by making it too expensive for small and midsize businesses, what can you expect from the federal government when your employer catches on? It won't be what our elected officials, or civil servants, or even Medicare recipients currently get (although that's about to end). Or even what 3.3 million Native Americans and Alaskan First People get, who have cradle-to-grave care and yet have the highest disease burden and the lowest life expectancy of any U.S. group (how's that plan working). We're about to see one of the biggest give aways to any special interest group (medical technology) from ARRA (stimulus package)--$20 billion--and I know that's just the beginning price tag. I don't know as I'd call those "shovel ready" stimulus jobs or not--the tech field was doing just fine, I thought, with entrepreneurs like Bill Gates and the Google Guys. If you've ever worked with computers, you know the constant upgrading, not talking to each other, and screw ups that can happen. Especially if the government is doing it (I've lost track of the times my identifying information (state of Ohio) has been lost to a hacker or someone taking home a gov't computer that shouldn't and having the computer stolen out of the back seat.)

But back to the Indians and their care givers--I wonder how the IHS will be able to squander the ARRA funds?

"Since June 2008, when Indian Health Service (IHS) officials agreed to implement more stringent controls over property management, the agency has lost about $3.5 million in equipment, according to a Government Accountability Office (GAO) report released on June 2 (http://www.gao.gov/new.items/d09450.pdf).

According to the report, missing items included an ultrasound unit (valued at $170 000), an x-ray mammography machine (valued at $100 795), dental chairs, cardiac and vital sign monitors, and a pharmacy tablet-counting machine.

The GAO criticized IHS for taking few steps to ensure that its employees are aware of and complying with property policies. It also suggested that the agency failed to hold individuals accountable, noting that the executive in charge of the agency's property group and other areas was given a $13,000 bonus after a GAO report issued last year found that an estimated 5,000 items with an acquisition value of $15.8 million were reported lost or stolen in fiscal years 2004-2007. Mike Mitka, JAMA, July 8, 2009, p. 136.

And although the government disapproves of businesses giving out bonuses to executives for incentives if the business is losing money, it doesn't mind giving bonuses through its own agencies and programs which are notorious spendthrifts and seem to have gotten us into this pickle, which the government now claims it is going to solve by throwing more money into the laps of the same people! This is not new to the Obama Administration. Before, Obama Bush was the all-time big spender President--Obama has made him look like a penny pinching piker.

"The federal government plans to kick its purchasing power into high gear by offering Medicare and Medicaid bonuses to physicians and hospitals that demonstrate "meaningful use" of interoperable, certified EHRs starting in 2011. The stimulus package also provides billions of grant dollars to federal and state organizations for research and the promotion of health-IT adoption." Government technology

I'm all in favor of incentives--but only in private hands. But guess what else is wanted with that $20 billion from the tax payers? Your patient data. Ah, yes. They are salivating over that--and not for you, oh no, but for the "common good" . . . "the collection of aggregate patient data that could vastly improve patient safety, public health monitoring, and medical knowledge. Kind of HIPAA in reverse, I think. There is also a proposal being floated that we not have a choice about participating in medical research (as a control, as a donor, etc.) "The Obligation to Participate in Biomedical Research," JAMA, July 1, 2009 p. 67. I thought it was about the scariest thing I'd ever read combined with the med tech rec threat. The authors, Schaefer, Emanuel and Wertheimer, called reluctance or refusal to participate, "free riding." In other words, your DNA, your experience, or your sick child are just so much gravel to pave the road to losing your freedom. It could be a trade off for the charitable deduction which will probably be taken away (Biden and Obama really didn't use those much anyway)--donate at the lab instead of church.

Another medical boondoggle in the ARRA is $1 billion to support comparative effectiveness research. I'd call that a jobs program for researchers who didn't get medical degrees comparing this device to that device, practice A to practice B, therapy Y to therapy X and then filing for more grant money when no one pays attention.

Health savings proof demanded by Obama

Nice try, sir. How about proof that the universal coverage by government fiat and computerized medical records feeding into a government database will save money? The recent hijacking of Virginia's 8 million health records and 35 million prescription records hasn't brought much attention to this problem--probably because there are thousands of government employees and Democratic Congress people involved as "victims" in that heist. It is proof positive of what happens with centralized medical records. I think it has been 3 weeks and the site is still down as the "criminal investigation" continues into the crooks holding the records for ransom. The irony is this "secure" web site was set up to discourage illegal behavior.

Electronic Health records and GPS Census Records

[Disturbing side-bar: my spell check in Microsoft Works still tries to change Obama to Osama]

Not too many years ago my liberal/progressive colleagues in the library profession (223:1 liberal to conservative--several of whom post here as "anonymous") were screaming about the dangers of RFID on Wal-Mart pallets, which the marketing giant uses to reduce inventory costs and speed delivery from warehouse to outlets. Of course then, it was a right wing, Nazi conspiracy caused by Karl Rove because President Bush was in office. And they were definitely right to worry. Look what Oba-Mart is settling for now. Electronic surveillance of everything in our lives.

When President Obama won approval for his $787 billion stimulus package in February, large sections of the 407-page bill focused on a push for new technology that would not stimulate the economy for years.

The inclusion of as much as $36.5 billion in spending to create a nationwide network of electronic health records fulfilled one of Obama's key campaign promises -- to launch the reform of America's costly health-care system. WaPo

One can only hope that these billions for a “network” of health records doesn’t work any better than what we’re all experiencing locally at our own doctor’s office. If this is any evidence, not one dollar will ever be saved. It's just a coup for the industry.

I stopped by to pick up a prescription at my doctor’s office because the “electronic transfer” of information between that office and the pharmacy I used hadn’t been able to manage the job in 3.5 days, and I was out (old methods of fax and phone aren't used anymore). Normally, I would have just told the receptionist what I needed, and my file (paper) would have been retrieved (human). No. I waited about 10 minutes as she struggled getting the right screens up, then worked from screen to screen, asking me questions I didn’t know, like date of my last appointment and address of the pharmacy. A line was forming behind me. When she finally found it, she said there was no record from the pharmacy requesting permission for a refill, but the doctor would decide.

That night we got a call from the doctor’s office that “it was ready,” i.e. the prescription script. My husband went to pick it up and waited about 15 minutes in line as the receptionist struggled with the screens of 2 or 3 people ahead of him. Fortunately, it was in a paper envelope with my name hand written on the outside. We can only hope and pray that the national “network” that Obama is forcing thousands of small offices to buy into (causing many to close their doors), doesn’t work any better than what you’ve all experienced at the local level as your doctor or clinic transitions.