Joseph: Rragrding your three questions: 1)Can you make a unequivocal ethical argument for the universal implementation of VISTA? I would love to hear it. 2) By this do you mean: implement VISTA whilst building a seperate system to replace VISTA in its entirety at a later date or something more alongthe lines of Andrew Ho's scenario? 3) What do you mean by this? David
----- Original Message ----- From: "Joseph Dal Molin" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Saturday, August 10, 2002 7:12 AM Subject: Minimizing the opportunity cost > Ok so on one hand we have a system that works, supports 400 hostpitals > and users like: VistA and on the other the desire to build a future > proof solution: let's call it Futura (I think Ford had a car by that > name). The questions (perhaps a tad loaded) I would like to explore are: > > 1. Is the social opportunity cost of waiting for Futura versus > implementing VistA globally worth it, ethical? > 2. Is there a way to have your cake and eat it too....i.e. build Futura > and get the benefits of VistA? > 3. If everyone used VistA would Futura even matter? > > The perspective I am taking is the 80/20 approach with global > improvement in health outcomes being the measure. > > > -- > Cheers, > > Joseph > > Joseph Dal Molin > e-cology corporation > www.e-cology.ca >
