Have we ever thought about going back to very manual processes as a matter of course? That maybe digital technology is great for immediate and ephemeral communication, but for long term secure communication perhaps pen and paper is best?

This means we keep fewer, more important records on paper.

This requires rethinking management which, lets be honest, needs to happen anyway.

I was having asthma and went to the doctor in Cassis France. To get a ventolin inhaler and a round of prednisone only took two forms -- one at the doctor and the prescription -- and about $70 dollars.

I look at the reams of documents Kaiser generates anyway, virtual and real even though I'm "paperless" and I wonder how much of the expense of my health care goes into schlepping all these documents around.

There is a book by Derrida called Archive Fever that I read when I was a temp and I always think about the quote in it: "the archivist generates more archive, and so the archive is never closed"

Maybe we need that big hack to finally take away the bottle. We don't have to record everything forever, and digital technology is bad at it, anyway.