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Comment by jmcgough | Hacker News Reader

Hope she's okay. For better or worse, our entire emergency department flow is orchestrated around epic. If we can't even see the board, nurses don't know what orders to perform, etc.

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If it’s so critical that nurses are left standing around clueless then if it goes down entire teams of people should be going to prison for manslaughter.

Or, we could build robust systems that can tolerate indefinite down time. Might cost more, might need more staff.

Pick one. I’ll always pick the one that saves human lives when systems go down.

Another way to look at it is that you can have more hospitals using systems with a lower cost, thus saving more lifes comparing to only a few hospitals using an expensive system.

This isn't another way to look at it, this is the only way to look at it.

Okay but that will affect hospital profits and our PE firms bought these hospitals specifically to wrench all redundancy out of these systems in the name of efficiency (higher margins and thus profit) so that just won't do.

Private equity people need to start getting multiple life sentences for fucking around with shit like this. It's unironically a national security issue.

1. Hospitals should not make profits.

2. Hospitals should not have executives.

3. Hospitals should be community funded with backstop by the federal government.

4. PE is a cancer - let the doctors treat it.

Doctors can't even own hospitals now. Doctor-owned hospitals were banned with the passage of Obamacare in order to placate big hospital systems concerned about the growing competition.

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