Allow my rebuttal...
The doctors are IT's customers not the patient. The patients are the doctor's customers not yours. It's the doctor's job to care for the patients. It's IT's job to make sure the computers doesn't get in the doctor's way while remaining secure and HIPAA compliant. I can see why the doctors would disrespect an IT department that doesn't cater to the customer's (as in doctors) needs.
If you haven't noticed, the nature of healthcare is changing because of IT. With analytics, data warehouses and artificial intelligence like IBM's Watson diagnosing patients with stunning accuracy, the role of doctor centric patient care is going the way of the dodo. Granted we are not there yet but in the next 20 years we will see computers diagnosing patients, medical breakthroughs occurring through the use of analytics as opposed to traditional medical research, and doctors just basically being delegated to QA on patient care. The point is that all of this will be patient-centric where IT begins to see the patient as the client.
In 80 some years of cardiac medicine, about the single most effective treatment that all doctors agree on is Aspirin. Healthcare breakthroughs move slowly if you haven't noticed. Now with analytics, doctors, researchers and analysts will be able to interpret correlations in a way never allowed before.
Really? Their budgets have been shrinking for well over a decade. With medicare payouts being lowered, unfunded mandates to provide "life saving" care to indigents which includes triaging cold and flu cases in ERs, increasing budget reserves in order to offset the growing malpractice risks (self insured hospitals) or paying higher premiums (non-self insured hospitals), and increase labor costs for staff I'd like to know where this easy money is coming from.
You make it seem as if the non-profit centers see this charity care as a bad thing. To the contrary, they are allowed to write off this "free" care that they are required to give mind you, as charity towards the requirements for them to maintain non-profit tax status. I promise you the cost of free care is a pittance compared to the corporate taxes they otherwise must pay as well as state and local property taxes and the like
Your arguments about malpractice risks and insurance for that are negligible.
In my region the nonprofit medical centers tend to be the regional charity or university based hospitals and they are outnumbered by the growing number of for-profit medical centers that offer specialized care. In plain english this means that the high-markup services are being performed by for-profit outpatient centers leaving the hospitals with convalescence services and indigent care.
This for profit, non-profit line is increasingly blurry though as I see the large non-profit health systems continue to act in ways that are increasingly similar to for profit companies. The chair-persons at such health systems often encourage for-profit ventures to be incubated in the healthsystem and with the support of it so that they have vehicles to move profits into investments towards these for profit institutions. Guess who the board of directors tend to be at these for profit institutions that operate under the non-profit umbrella? Profits find their way into the chair-persons hands in a very indirect way. You may not realize who is really calling the shots and who actually owns these for profit institutions but I do and you would be surprised.
This doesn't sound like any of the hospitals that I know about. I have friends and colleagues that are in the medical software business or an employee of a hospital throughout the southeast. My graduating class of engineers took advantage of the changes that HIPAA brought and a large portion of them work in the industry. We stay in touch and some of them are known to vent their frustration but none of it involved nepotism, mostly it involves having to manage tech school graduates and heroes.
I will grant you that medical software businesses have less of this good ol' boys club that I speak about but it certainly is a real thing in all three health systems in the north east that I have worked for directly or indirectly. Perhaps it is a regional thing?