I've often wondered why things happened the way they did with DHCP and
VistA, politics being what it is.  Looking at the timeline and the major
political players, my naïve take on it is as follows:

Late 1970's -- President Carter -- central management, pre-DHCP goes
underground
1980's -- President Reagan and Senator Sonny Montgomery -- note they were
from different parties but were champions of local control, DHCP thrives
1990's -- President Clinton -- central management, no retooling, few new
versions, waterfall software development lifecycle
early 2000's -- President Bush -- central management with local initiatives
... Enterprise Architecture as sound principles could be VERY good ...
senior management dictating details of technical implementations frustrating
even to central middle management ...

Well centered principles with natural consequences are the foundations of
efficiency and good results especially when conducted locally.  But even
central management without a sound foundation is likely to be worse than
local efforts that span the spectrum from good to bad.  At least there may
be some good things to choose from.

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Bain
Henderson
Sent: Monday, April 18, 2005 3:07 PM
To: hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members] VA project funding hits hurdle in House -
St. Pete TImes

CONCUR!  Health care, like politics, is best delivered locally.

- Bain

At 05:21 PM 4/18/2005, you wrote:
>The quote in the article from Steve Buyer must be distressing to anyone 
>who remembers
>anything about the origins and development of VistA:
>
>  "Information technology at (the) VA is not centrally managed, and the 
> results are poor
>service to veterans, inefficiency and wasted tax dollars," Indiana 
>Republican Steve Buyer,
>the committee chairman, said in a written statement.
>
>My understanding is that overly centralized management of IT in the VA has 
>(almost?)
>always been the biggest source of "poor service to veterans, inefficiency 
>and wasted tax
>dollars". Has that changed or is this more of the same?
>
> >http://pqasb.pqarchiver.com/sptimes/822736131.html?MAC=995cfe7284bceb318e

>
9a5098a997569e&did=822736131&FMT=FT&FMTS=FT&date=Apr+15%2C+2005&author=STEPH
EN+NOHLGREN&printformat=&desc=VA+project+funding+hits+hurdle+in+House
> >--
> >Nancy Anthracite
>
>---------------------------------------
>Jim Self
>Systems Architect, Lead Developer
>VMTH Computer Services, UC Davis
>(http://www.vmth.ucdavis.edu/us/jaself)
>
>
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