Technology has been a boat anchor dragging down the industry thanks to regulations like Hippa, and requirements that all records be kept electronically. Paper charts are banned. now. This is a classic example of what happens when legislators regulate something they know nothing about. I see it everyday, as I work at the helpdesk of a major midwestern hospital chain. I am convinced all the technology that end users can't figure out has led to dead and injured patients. I am a perma-temp, where I work, not an employee. Outsourcing in healthcare is another problem, but not the one we are talking about here. Anyway, many people working in healthcare are technically illiterate, and refuse to learn. Also software like Epic is too complicated for anyone but engineers. My mother, who was a nurse, is now happily retired. Epic and other high tech whizbangs made her last years in the industry hell. The worst part of it all is cost. Computers, commercial software, and all the support staff needed cost so much more than paper charts did. All they really needed to do was to make PDF of the old paper charts, and let people type into them That would have fixed the problem of scribbly doctor's handwriting. Washington broke it. Will they ever fix it?