Living in Nashville, a healthcare center, and having personally seen >100 million dollars blown by healthcare startups, have made me very cynical. HCA is about to "go public" again making the Frist family another 15 million dollars while healthcare informatics continually gets underinvestment and underdevelopment. An iPad app isn't what healthcare IT needs. A drastic smashing of the legacy of MUMPS and overgrown piss poor legacy solutions will require a large health crisis, with opportunities blown due to bad processes and bad systems.