Are we more of a "X is shit" crowd then? You cannot evaluate the health system based on the information management system itself. I would argue that you cannot evaluate HS on anything more than your anecdotal evidence. If you have a reliable model for HS then you pretty much have a model for the whole economy, since it's just so much intertwined. Last time I checked physics envy was still a thing. Deriving a functional model of HS from statistical data is a pipe dream since so much is based here on behaviour. I know that we have gone far with predicting behavours, but I would say that we are still not far enough. Also, I don't have any data to support it and I don't care.