Although I agree that EHRs largely suck, it is not the elephant in the room. From a technology perspective, if you really want to fundamentally change healthcare then you have to tackle diagnosis. For the majority of illness and disease, we still do not have a good set of technologies that diagnose accurately, quickly, and cheaply. Instead a physician makes an educated guess based on symptoms and sometimes on tests. Tests which give clues but rarely a definitive answer.

I don't know what the answer is, but I know that the sooner we take the "art" out of medicine, the sooner healthcare will get a lot better.