Dear Mr. President

Ernest J. Moniz, John D. Halamka, and Charles M. Vest writing in Technology Review have some advice on coercing physicians into accepting EHR technology for the next President:

Primary-care physicians in the U.S. are already struggling with high costs and low reimbursement. Asking them to comply with another unfunded mandate based on penalties rather than incentives won’t solve the problem, because it doesn’t acknowledge the underlying economic misalignment that has discouraged adoption in the first place. The result won’t be more EHRs; it will be fewer medical students choosing primary-care careers, which will fuel even greater increases in health-care costs.

I hope our next President, whoever that turns out to be, is listening.

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