The health information technology (HIT) juggernaut is promising�or threatening�to ram medicine into the 21 century, leaving behind hapless private physicians who aren�t wired in. Practices with insufficient revenue to afford the expensive systems�or practices that can�t or won�t attract HIT subsidies from hospitals or other behemoths�are expected to wither and die. The Bush Administration and members of Congress from both parties believe that HIT, of the �interoperable kind,� is the answer to medical errors and overwhelming costs. The interest groups that dominated the Clinton Task Force on Health Care Reform now appear to own the government.

Reprinted with Permission from www.aapsonline.org and www.jpands.org

Journal of American Physicians and Surgeons Volume 12 Number 1 Spring 2007.