The blog entry by Ogbujis linked below may be of solace to some of us - it includes this conclusion..
I also think much of the risk aversion associated with the atmosphere I found myself ... in large institutions contributes to why the very evident opportunities in leveraging rich web application (?web 2.0?) and semantic web infrastructure (?web 3.0?) have not had as much penetration in healthcare information technology as one would expect. http://copia.posterous.com/desiderata-and-architectural-constraints-of-w
