Andrew Ho [mailto:[EMAIL PROTECTED] wrote:
> On Tue, 26 Oct 2004, Joseph Dal Molin wrote:
> 
> > While the UK has not gone with open source solutions for its health 
> > systems it would be great if they simply adopted open, 
> collaborative 
> > knowledge/experience sharing to support their current EHR 
> deployment 
> > efforts.
> 
> Joseph,
>   I am sure NHS can get that too if they are willing to pay 
> for it (in terms of money and other resources/risks). This 
> includes willingness to subject themselves to peer-review.
>   Perhaps this is one of the factors that prevented them from 
> adopting the open source approach in the first place? By 
> selecting the closed-source approach, a big part of their 
> methodology will be inaccessible to the public for review.

The intrinsically secretive nature of the Westminister/Whitehall system of
government is often a surprise to those hailing from more open regimes. On
the other hand, those familiar with the Westminister/Whitehall system tend
to be constantly surprised at the level of political influence which is
present in the judicial and adminsitrative arms of government in the US.
Watching a TV programme last night on the coming election battle in the US,
and in Florida in particular, I was flabberghasted to learn that the same
Republican-appointed electoral commisioner who designed the ambiguous
"butterfly" voting punch cards for Palm Beach County, Florida - the ones
which enabled George Bush to gain office - is still in her job, and has now
selected a closed-source electronic voting system without a paper trail (the
Sequioa system, I think - see http://www.sequoiavote.com/testimonials.php).
Which is queue to give a plug to open source e-voting initiatives, such as
http://www.openvotingconsortium.org and http://evm2003.sourceforge.net These
projects are of interest because the security and privacy issues relating
closely to those of collecting confiential data from patients eg surveys or
epidemiological studies.

Tim C

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