Just over a year ago at the Personal Democracy Forum in NYC, I posted an item to my personal blog at theendoflinearity.com on this topic, the idea that there are no destinations on the Internet.   Having wrestled with this topic for many months, it became clear that the challenge of 'destination thinking' from the real world was complicating solutions to topics like health care because it was focusing us on areas other than patients by which to find solutions.

The quest for the holy grail of the electronic health record is particularly difficult because of fundamental disagreements about matters as general as the scope of the “health” domain. What are the proper relationships between records made by examining physicians, diagnostic experts, health insurance companies, parties paying for health insurance, patients themselves, and others? What about schools that require particular vaccination records or physical examinations for athletic participation? Or financial service providers pricing annuities based on actuarial estimates?

This piece by Tevi Troy at the Washington Post highlights key issues that CLOUD can help address as we seek to solve this electronic health record challenge through new vectors and a change in your horizon.