Wholeheartedly concur. My further concern is there seems to a Government contingent, above the level of VAH that would like to turn the whole project over to industrialists who, once secure, would own the code whole cloth, and collect royalties and support $ into perpetuity. Noam Chomsky coined the term "industrial feudalism." ...tx/t
> -----Original Message----- > From: [EMAIL PROTECTED] [mailto:hardhats- > [EMAIL PROTECTED] On Behalf Of Gordon Moreshead > Sent: Wednesday, April 13, 2005 2:59 PM > To: [email protected] > Subject: RE: [Hardhats-members] BIG NEWS re HealtheVet- St. Petersburg > Times > > Nancy, > > That appears to me to be a highly perceptive take on the situation that > includes considerable truth as well. I would second your observations and > perceptions. > > Gordon > > -----Original Message----- > From: [EMAIL PROTECTED] > [mailto:[EMAIL PROTECTED] On Behalf Of Nancy > Anthracite > Sent: Wednesday, April 13, 2005 1:53 PM > To: [email protected] > Subject: Re: [Hardhats-members] BIG NEWS re HealtheVet- St. Petersburg > Times > > I am afraid that part in the report that said that " VA culture inhibits > "raising risks, issues, problems or differing opinions" translates into > people will be risking their jobs to talk to you and be quoted. However, > a > search through the Hardhats archives will reveal some who have taken the > chance and have spoken out on the mailing list despite knowing that it is > risky to stick out your neck where others may be watching. > > My take on it is that the M programmers and others within the VA and on > the > outside are eager to have an opportunity to do what they have wanted to do > but have been prevented from doing for years, which is to work on > re-engineering the existing VistA, still in M, to modularize it and clean > up > > the code to make some of the very things that management complains about > regarding VistA go away. No only would that remove some of the complaints > about about VistA ("it takes $1,000,000 to change a line of code") but it > would make it easier to port to another language should that ever need to > be > > done. > > This concept that there are not enough M programmers so it can't be done > is > bogus. In my experience, programmers know multiple languages and M as > easy > to learn as any other. If there are so few M programmers, how is it that > other large M based medical record systems persist and new ones get made > but > > the VA can't do that? I also think that many of the changes that are > being > made that tap into VistA to get data are supported by the programmers, > maybe > > in the form they are in or something different, but allowing Java based > programs to make use of the data in the M Database is all well and good - > a > multilayered architecture is not opposed by those I have discussed this > with. > > However, there is something to the fact that the people who best know > VistA > are getting older and it is time to let them direct the job they are so > eager > to do and let them fix VistA. Maybe this will be the kick in the pants > for > everyone that might allow this to happen. > > On Wednesday 13 April 2005 02:24 pm, Joseph Conn wrote: > > Any Hardhats/WorldVistA folks want to comment on this Carnegie report > story > > for a story I'm working on??? I've got calls into the VA for comment. > > > > Joseph Conn > > Staff writer > > Modern Physician > > ModernPhysician.com > > Modern Physician STAT > > Heatlh IT Strategist > > 312-649-5395 > > [EMAIL PROTECTED] > > > > Check out the NEW ModernPhysician.com, and register now for Modern > > Physician Stat and Modern Physician Alert > > > > >>> [EMAIL PROTECTED] 04/13/05 11:53AM >>> > > > > VA faces another computer problem > > By PAUL DE LA GARZA and STEPHEN NOHLGREN Published April 13, 2005 > > > > A report done for the administration suggests that the VA's > > multibillion-dollar plan to upgrade its system is "not realistic." > > > > A $3.5-billion computer overhaul at veterans hospitals across the > country > > is poised to fail unless the Department of Veterans Affairs makes > drastic > > changes, according to a closely guarded government study obtained by the > > St. Petersburg Times . > > > http://www.sptimes.com/2005/04/13/Worldandnation/VA_faces_another_comp.sht > m > >l > > -- > Nancy Anthracite > > > ------------------------------------------------------- > SF email is sponsored by - The IT Product Guide > Read honest & candid reviews on hundreds of IT Products from real users. > Discover which products truly live up to the hype. Start reading now. > http://ads.osdn.com/?ad_id=6595&alloc_id=14396&op=click > _______________________________________________ > Hardhats-members mailing list > [email protected] > https://lists.sourceforge.net/lists/listinfo/hardhats-members > > > > ------------------------------------------------------- > SF email is sponsored by - The IT Product Guide > Read honest & candid reviews on hundreds of IT Products from real users. > Discover which products truly live up to the hype. Start reading now. > http://ads.osdn.com/?ad_id=6595&alloc_id=14396&op=click > _______________________________________________ > Hardhats-members mailing list > [email protected] > https://lists.sourceforge.net/lists/listinfo/hardhats-members ------------------------------------------------------- SF email is sponsored by - The IT Product Guide Read honest & candid reviews on hundreds of IT Products from real users. Discover which products truly live up to the hype. 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