Summary: This evening we focused on Health Care IT, referred to in many debates as the magic bullet that will make health care affordable again. We agree that IT can and must play a major role in Health Care Reform, but could be a major hindrance if we make the wrong choices. The Federal Government through the Department of Health and Human Services (DHHS) should: • Maintain a fully free and open source electronic medical record (EMR) system. • Mandate the EMR be taught in all medical and nursing schools. • Mandate an open and freely implementable EMR communication standard. • Mandate a national medical identiﬁcation number and prohibit the use of, and storage of, Social Security Numbers in any health care system.
It has gotten me thinking about other ways the Federal government can help other local systems such as schools, townships, maybe even police and fire stations. I'm going to use Education as the best other example:
- Federal goverment funds development of free linux distribution for schools. Requires use of GPL for everything it pays for to ensure school software remains free. This is designed to be the end-all for schools, (maybe Moodle is at the core and all systems authenticate to it?). Basically they pay to add features to make these GPL-licensed systems do everything a school needs.
- Federal government launches grant program to implement free linux distribution in 5 schools (made up number) in every state with the condition that the schools will allow other schools technology departments in to look around and help train them.
- Profit, err less profit as every school no longer needs to pay for any licenses for software. It also encourages a local software ecosystem as schools can pay locally to fix a bug or add a feature.
Why GPL? Because I want the federally funded systems for education and health care and any modifications made to them to always be free to hospitals and schools. They are public institutions and as a matter of good public policy we should not pay for the same work over and over and over again, especially if the federal government already paid for it.