In our iPhone-reverent age, the dismissal of EHR critics as Luddites is supported by the acknowledgement that technologies we once couldn’t imagine we now can’t live without. But the assumption that EHR evolution will mirror the cell phone’s trajectory provides three notable flaws. The EHR is normally touted as a cost-saving, quality-promoting tool, though cost-conserving projections have been debunked and data on quality are mixed.2 Although we’ve made improvement in individual safety only by carefully examining our mistakes, somehow the dangers posed by technology are expected to right themselves. Second, letting the market form usability assumes that clinicians are the target users. So EHRs will be just as good as the product quality metrics they’re designed to catch; technology can’t overcome fundamental measurement issues.Programs like Medicare and Sociable Security are untouchable because every lawmaker who’s been in D.C. Longer than ten minutes knows it really is political suicide to even hint at reforming them. Anyone would you – think Rep. Paul Ryan, Mitt Romney’s working mate, the most recent politician who actually put forth a plan – is certainly ravaged in the press and public sector. Nevertheless, something has to be completed; any serious economist understands that the existing ratio of takers-to-makers is unsustainable.