[mmonihan]

A strategy that may have a chance, given the current situation:

1. Befriend and work with a mentor who happens to be high up in the IT department in a health system.

2. Create some kick-ass app

3. Open-source it(use the open-source version as a way for IT people in other health systems to use your work)

4. Have your mentor implement that software in their health system as a pilot project.

5. Befriend other IT directors and try to sell to them.

6. Befriend other medical software providers and try to license to them.

7. Make hay while the sun shines.