Obama's Health IT Dilemma: The 'Some Dude' Problem
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The Obama administration has made a pledge to spend $50 billion dollars on Health IT, yet it is unclear how they will come to grips with proprietary health IT software, a problem I will call the 'Some Dude' phenomenon. In my now lengthening health IT career, I have frequently come across a remarkably destructive and unfortunately abundant person called 'Some Dude'. Some Dude is the proprietary license holder of an entrenched piece of health IT software that needs to be interfaced with other software. Some Dude is entirely and in my experience usually capable of: stonewalling, obstructing, fleecing, lying, tollboothing, and ignoring any effort to interface with their proprietary software. There are few to no penalties or consequences to the proprietary license holders for such destruction. There are many real consequences and penalties for patients and practitioners by such obstruction.
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