My doctor, a fine physician, jumped on board (actually was pushed by the stimulus and the ACA) on the electronic medical records fiasco. God, he looked tired last year. But it is okay, because this year, he has hired a "scribe" -- a girl who follows him around putting everything he says and does into the computer. Efficiency, indeed. I've put in a good number of these systems -- in every instance with me urging my customer to reconsider. And in no case has affected efficiency in a positive way. Operationally, a typical small clinic goes from 3 to 7 employees just to accommodate the EHR system. Worse, the federal invasion and bureaucracy is astounding. I'm still seeing crap I absolutely cannot believe in the new "meaningful use" standards.