{"id":2444,"date":"2013-01-11T08:38:42","date_gmt":"2013-01-11T15:38:42","guid":{"rendered":"https:\/\/www.roughtype.com\/?p=2444"},"modified":"2013-01-11T08:38:42","modified_gmt":"2013-01-11T15:38:42","slug":"theory-and-malpractice","status":"publish","type":"post","link":"https:\/\/www.roughtype.com\/?p=2444","title":{"rendered":"Theory and malpractice"},"content":{"rendered":"<p><a href=\"https:\/\/i0.wp.com\/www.roughtype.com\/wp\/wp-content\/uploads\/2013\/01\/snake-oil-bottle-cropped-label.jpg?ssl=1\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2448\" alt=\"snake-oil-bottle-cropped-label\" src=\"https:\/\/i0.wp.com\/www.roughtype.com\/wp\/wp-content\/uploads\/2013\/01\/snake-oil-bottle-cropped-label.jpg?resize=500%2C194&#038;ssl=1\" width=\"500\" height=\"194\" srcset=\"https:\/\/i0.wp.com\/www.roughtype.com\/wp\/wp-content\/uploads\/2013\/01\/snake-oil-bottle-cropped-label.jpg?w=500&amp;ssl=1 500w, https:\/\/i0.wp.com\/www.roughtype.com\/wp\/wp-content\/uploads\/2013\/01\/snake-oil-bottle-cropped-label.jpg?resize=300%2C116&amp;ssl=1 300w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/a><\/p>\n<p>When the technocracy feels compelled to deliver urgent care on a grandiose scale, the <a href=\"http:\/\/www.nytimes.com\/2013\/01\/11\/business\/electronic-records-systems-have-not-reduced-health-costs-report-says.html\">outcome<\/a> is pretty much foreordained:<\/p>\n<blockquote><p>The conversion to electronic health records has failed so far to produce the hoped-for savings in health care costs and has had mixed results, at best, in improving efficiency and patient care, according to\u00a0a new analysis\u00a0by the influential RAND Corporation.<\/p>\n<p>Optimistic predictions by RAND in 2005 helped drive explosive growth in the electronic records industry and encouraged the federal government to give billions of dollars in financial incentives to hospitals and doctors that put the systems in place. &#8230;<\/p>\n<p>RAND\u2019s\u00a02005 report\u00a0was paid for by a group of companies, including General Electric and Cerner Corporation, that have profited by developing and selling electronic records systems to hospitals and physician practices. Cerner\u2019s revenue has nearly tripled since the report was released, to a projected $3 billion in 2013, from $1 billion in 2005.<\/p><\/blockquote>\n<p>I believe that&#8217;s what&#8217;s called a money-extraction surgery. Sounds like it was a great success.<\/p>\n<p>Next patient: <a href=\"http:\/\/www.sfgate.com\/education\/article\/Arne-Duncan-promotes-digital-education-3861387.php\">education<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>When the technocracy feels compelled to deliver urgent care on a grandiose scale, the outcome is pretty much foreordained: The conversion to electronic health records has failed so far to produce the hoped-for savings in health care costs and has had mixed results, at best, in improving efficiency and patient care, according to\u00a0a new analysis\u00a0by [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[],"class_list":["post-2444","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.roughtype.com\/index.php?rest_route=\/wp\/v2\/posts\/2444","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.roughtype.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.roughtype.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.roughtype.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.roughtype.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2444"}],"version-history":[{"count":3,"href":"https:\/\/www.roughtype.com\/index.php?rest_route=\/wp\/v2\/posts\/2444\/revisions"}],"predecessor-version":[{"id":2450,"href":"https:\/\/www.roughtype.com\/index.php?rest_route=\/wp\/v2\/posts\/2444\/revisions\/2450"}],"wp:attachment":[{"href":"https:\/\/www.roughtype.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2444"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.roughtype.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2444"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.roughtype.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2444"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}