Some years ago I had a medical procedure that required visiting a few different doctors, and, dysgraphic as I am, I was intensely annoyed by the fact that at every doctor’s office, I was given pencil and paper to fill out what was essentially the same questionnaire, over and over. There being nothing much more pressing at issue than whether I am allergic to penicillin or had been feeling dizzy lately, this seemed to me like the sort of thing that ought to be done electronically and shared among practices. I pointed out to one not-at-all-interested physician that when I received bills, they were produced electronically rather than with pencil and paper.
“What’s your point?” he asked.
“The point is that when it comes to my interests — the timely and efficient transmission of my medical records — you are content to use 17th-century technology, the first mass-produced pencil having been developed in Nuremberg in 1662. When it comes to your interests — getting paid — you use 21st-century technology. It strikes me as odd that we have a very sophisticated electronic system for monitoring credit scores but no such thing for medical data.”