"I would like to promote the concept of a partnership of insurance companies, physicians and hospitals in deploying a basic framework for an electronic medical records system that is affordable"
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What makes this line land oddly is its almost utopian calm: a “partnership” between insurers, physicians, and hospitals sounds like civic harmony, yet those groups rarely want the same thing. The rhetoric is managerial and consensus-driven, smoothing over conflict with the soothing language of “framework,” “deploying,” and “affordable.” It’s public-service speak that implies the hard parts (who pays, who controls the data, who profits) can be solved by convening the right stakeholders.
The specific intent is practical and infrastructural: standardize records, digitize care, reduce friction. “Basic framework” is doing heavy lifting here. It signals a bid to set the rules of the road before the system fragments into competing standards. “Affordable” functions as both moral cover and political necessity, pre-empting the charge that electronic medical records are a tech upgrade for the well-funded rather than a public good.
The subtext is power. Electronic medical records aren’t just files; they’re leverage. Insurers want visibility and cost control, hospitals want billing and throughput, physicians want clinical usability and autonomy. Calling for a partnership is a way to domesticate those competing incentives into something that can be sold as modernization rather than surveillance, rationing, or administrative bloat.
Context matters, and it’s also the problem: Samuel Wilson (1766-1854) predates electronic records by more than a century. Read as a historical artifact, the attribution is anachronistic, suggesting either a misquote, a modern paraphrase grafted onto a revered name, or a deliberate attempt to borrow old-school legitimacy for a contemporary policy goal. That, too, is a form of governance: if you can make bureaucratic reform sound timeless, you make resistance sound petty.
The specific intent is practical and infrastructural: standardize records, digitize care, reduce friction. “Basic framework” is doing heavy lifting here. It signals a bid to set the rules of the road before the system fragments into competing standards. “Affordable” functions as both moral cover and political necessity, pre-empting the charge that electronic medical records are a tech upgrade for the well-funded rather than a public good.
The subtext is power. Electronic medical records aren’t just files; they’re leverage. Insurers want visibility and cost control, hospitals want billing and throughput, physicians want clinical usability and autonomy. Calling for a partnership is a way to domesticate those competing incentives into something that can be sold as modernization rather than surveillance, rationing, or administrative bloat.
Context matters, and it’s also the problem: Samuel Wilson (1766-1854) predates electronic records by more than a century. Read as a historical artifact, the attribution is anachronistic, suggesting either a misquote, a modern paraphrase grafted onto a revered name, or a deliberate attempt to borrow old-school legitimacy for a contemporary policy goal. That, too, is a form of governance: if you can make bureaucratic reform sound timeless, you make resistance sound petty.
Quote Details
| Topic | Health |
|---|---|
| Source | Help us find the source |
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