[ndonnellan]

Speaking as someone still working at a big non-epic/cerner EHR company-that-might-have-just-gone-private: it's not easy. When the money is controlled by large insurers who care about government and billing minutiae, and big hospital/health-care groups choose which software solutions to use, it's an uphill battle to make stuff that is really, truly patient centric.

Everyone I work with cares really strongly about making a really good product. We have great designers/UXers, a lot of experience in building different pieces of the workflows that tens of thousands of doctors and hundreds of thousands of nurses, MA, PAs, front-office staff _and_ patients, but when you spend a whole year readying for ICD-10 and then some yokels in DC push the deadline back a year... I belabor my point.

Engineers wanting to start a health care company should try working for a big EHR company first. Then go start somewhere else using modern technology, modern development practices with just a little more wisdom. Maybe.