The Rand report (which was financed by medical computing firms) is the latest of many recent claims that medical computing will save hundreds of billions of dollars in medical costs.  Politicians across the political spectrum from Ted Kennedy to New Gingrich see in computing a painless solution to our nation's health care crisis (Kennedy has introduced federal legislation calling for the widespread adoption of EMR).

The Himmelstein/Woolhandler commentary points out that computer vendors have been claiming that such savings were imminent for the past 30 years.  Yet during that time thousands of hospital computer systems have been installed that "haven't saved a nickel."  The commentary criticizes the Rand researchers for basing their forecast on little or no reliable data.  Moreover the Rand forecasts assumes that "interoperability" among disparate medical computing systems, which has yet to be achieved in practice, can be readily accomplished nationwide.

Dr. Himmelstein, an Associate Professor of Medicine at Harvard and former Chief of Clinical Computing at Cambridge Hospital commented:  "We've made steady but slow progress in medical computing over the past three decades.  But computers don't offer the panacea that politicians hope for and computer firms are peddling.  To mount a national program to do in every hospital that which has yet to be done in any hospital may benefit the computer vendors who paid for the Rand research, but it risks failure on a colossal scale."

"Computers won't solve the health care crisis. Since hospitals started computerizing, bureaucracy has multiplied and costs have risen faster than ever.  Only national health insurance can streamline health care bureaucracy and save enough money to make universal coverage feasible. We need politicians to provide real leadership, not wait and hope for a technologic miracle." according to Dr. Steffie Woolhandler, an Associate Professor of Medicine at Harvard and prominent health policy researcher.

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