At face value it doesn't seem like such a bad idea. But if you think about the long-term costs of running the system (administrators, maintenance, hardware upgrades, software upgrades) it's not a job that the government is going to be able to perform efficiently.
Then you have the privacy concern. As it stands, if somebody wants access to my medical records then I need to explicitly authorize their release. In my opinion, this is the way it should be. I'm against anything that makes it easier for a third party to get my records without consent. There needs to be very strict language protecting the consumer's privacy.
Then you have provisions that have NOTHING to do with streamlining medical record transfer. Quoteth wikipedia:
"The National Coordinator of Health Information Technology, will monitor treatments to make sure the doctor is doing what the federal government deems appropriate and cost effective so as to reduce costs and âoeguideâ the doctorâ(TM)s decisions (p.442, 446). Hospitals and doctors that are not âoemeaningful usersâ of the new system will face penalties by the HHS secretary, who will be empowered to impose âoemore stringent measures of meaningful use over timeâ (p.511, 518, 540-541). The Federal Coordinating Council for Comparative Effectiveness Research ($1.1 billion) (p.190-192) will slow the development and use of new medications and technologies because they are expensive. Medicare would apply a cost-effective standard set by the Federal Council for the elderly (p.464). Drugs "that are found to be less effective and in some cases, more expensive, will no longer be prescribed." It approves or rejects treatments using a formula that divides the cost of the treatment by the number of years the patient is likely to benefit. Treatments for younger patients are more often approved than treatments for diseases that affect the elderly, such as osteoporosis."
That's right folks! They're using this bill as a means to regulate the treatment your doctor provides. They, in their infinite wisdom, will decided whether the treatment your doctor is giving you is worth it. Got cancer? Oh, but you're 80 years old. Sorry. We've got more important people to take care of.
This is what you should expect because whenever the government gives you something they expect you to bow to their demands to make sure the money isn't "wasted." It's just like how people who have been convicted of drug-related offenses have trouble getting college grants. It's historic really, going back to the big city democrats in the early 1900's. They give you your meal ticket, you give them their power.