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I couldn’t agree more. Let consumers make the decision about how they will seek care. If they are dissatisfied with the services that retail clinics offer, the clinics will not survive in the long term. This introduces healthy competition to a marketplace that is sorely in need of it.

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I have worked in the healthcare field for over 25 years and spent some time evaluating electronic medical record products. Perhaps the low adoption rate of this technology is driven by problems with the products, a fact you seem to have overlooked. Many business from large hospital based systems (VA, Kaiser) to samll individual MD offices have spent billions of dollars only to walk away from their investments. This was not a function of lack of interest or investment, it was due to functionality complications. This dynamic is well known to those that know anything about that market.

There are a lot of products with all the ‘bells and wistles’ including ‘award winning’ offerings that don’t deliver or have a user base of 2. This is a very imature technology and if you overlay compensation reductions to physicians, why would a rational physician purchase the products. Example, I worked with a fertility group in S. Calif that reviewed patient charts every day with all three MD’s. They could review the chart manually in about 7 minutes. They purchased the latest award winning EMR only to see their review time double. So, much for productivity in a small practice. By the way, when you look at some of these ‘awards’ you will not find much there.

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