This is certainly a good point, but it's really not a matter of
either/or. It is quite possible to use a distributed storage model (and
remain reasonably efficient as well), without losing the ability to
tolerate network failures and even operate off-line for extended
periods of time. 

I've long argued against the model that everyone wants to embrace (all
writes must be to a single centralized "master"), but this model is
frequently taken as a requirement because it is easily understood, and
it does ensure the integrity of data updates. That being said,
maintaining all data locally (without any synchronization or sharing)
is, in my opinion, unnecessarily extreme.

--- Nancy Anthracite <[EMAIL PROTECTED]> wrote:

> I think this will serve as an excellent test for the local
> contingency plans 
> for catastrophic failrues. As an example, as the VA moves more and
> more 
> toward centralizing their databases, this sort of thing becomes more
> and more 
> of serious an issue.  This is one of the reasons that I am not in
> favor or 
> purely ASP solutions with no local backup or operational capability
> for even 
> small clinics. 
> 
> Paper backup is, of course, always an option in a non-critical
> setting, but in 
> a hospital that has to continue critical care with need for access to
> 
> existing data, for pharmacy, etc., at least until transfer of that
> critical 
> data to paper, there needs to be a local, battery and generator
> backed up 
> system.
> 
> The flip side of this is what happens if the central data repository
> fails if 
> the local sites do not have backup operational capabilities?
> 
> We have been thinking in terms of terrorism a lot lately, not mother
> nature as 
> "terrorist", but it matters little what is causing the problem in the
> last 
> analysis.  Terrorists speak of causing the maximum economic
> disruption for 
> the US as a goal, and causing a catastrophic power or communications
> failure 
> is likely high on their list.  Local backup could at least
> temporarily deal 
> with this sort of problems until there is no fuel  to keep the
> generators 
> going.
> 
> Roy, you have lived through a minor version of this at Bay Pines so I
> know you 
> know much better than most of us what they are facing now and in the
> days to 
> come in the wake of Katrina.
> 
> 
> 
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===
Gregory Woodhouse  <[EMAIL PROTECTED]>



"Perfection is achieved, not when there is nothing more
to add, but when there is nothing left to take away."
-- Antoine de Saint-Exupery











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