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Cake day: January 24th, 2024

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  • They’re a lot better in terms of tracking. No white out, backdating, loss in natural disaster. Better privacy as who looks is logged and requires note of reason for a non-provider to look. Tracking helps bill you yes but it can also help fight if records don’t match.

    Even if records can’t be directly imported across systems it can be sent a lot faster and easier which is important to efficient, effective care. If you stay within a given hospital/provider system integration works pretty dang well.

    Paper records are worse in many ways getting rid of them was a big push of the ACA for a reason. Obama admin did choose implementation before integration at the time but that is a reform to what exists you don’t have to reinvent the wheel so to speak.

    The insurance dildo is a mostly separate issue from ehr.






  • Social programs only exist to the extent they do as a wealth subsidy. Paying so low or scheduling hours such that people are on government benefits is subsidizing what the wealthy should be paying people. Medicare and Medicaid are ways to give money to middlemen instead of just directly paying for care. Until Biden they literally weren’t allowed to negotiate prices as every other form of health insurance does. All of these are bullshit concepts. Student loans aren’t even run by the government just paid by us while a third party servicer reaps the money and as you note shouldn’t exist. All developed countries do miles better in all these areas than the US.


  • Electronic health records when used appropriately are miles better than paper. More than half the article talks about the benefits before noting the two problems that paper does not solve. Which is crossing records from one system to another and the bloat that has been added as different specialties need to input different things. There will always be room for improvement but saying EHRs are a problem fully neglects that they are still a massive improvement.