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An Epic Dystopia
How a near-monopoly gained control of most of the nation’s electronic medical records, to the detriment of medical practice and doctor morale
Dr. David Bor, a senior pulmonologist who practices at the Cambridge (MA) Health Alliance and is a professor at Harvard Medical School, told me, “For billing and insurance purposes, the system requires a huge amount of material that we have to add into the note that is clinically irrelevant. At the center of this grand strategy was Dr. David Blumenthal, a physician and former senior vice president at Boston’s Partners HealthCare (now Mass General Brigham) in charge of information technology. Epic continues to make refinements to keep hospitals tethered to its system, further adding to the complexity, and effectively increasing the demands that doctors modify their practice patterns by getting with the program.
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