I agree with Gerard that we need to be careful.  However, that does not
mean that we go to the lowest denominator.  IF we think SNOMED is the best
solution, then we need to spend our time and energy on finding how to make
SNOMED available to the rest of the world.  We have a debate in our school
system in Durham.  The poorer kids do not have access to the Internet and
to laptops.  The debate is whether to prohibit the use of computers and
Internet for school work or to try to find methods that will provider
laptops and Internet access to the poorer kids.  I think the answer is
simple.

However, I do think it is important to make sure that SNOMED is the answer
and will be acceptable before we move aggressively.

Ed Hammond

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