@Aelkus @sergeybratus Thanks. Istanbul gal, so mind goes to quake metaphors. This is like fault lines: "captain obvious" but STILL ignored.
@zeynep As is the larger question of our neglected infrastructure (your Amtrak example). @Aelkus @sergeybratus
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@emptywheel@Aelkus@sergeybratus Yep. Short-term incentives vs. sanity in the long term in great conflict for infrastructure (also health). -
@zeynep@emptywheel@aelkus Sadly, health just got a large infusion of software built in a rush, with a government mandate for incentives. -
@sergeybratus@emptywheel@Aelkus I meant health care incentives is not to pay to treat diseases now (aka wait till it's really expensive). -
@sergeybratus@emptywheel@Aelkus But I hope when they fixed the healthcare dot gov thing, they did it right. -
@zeynep@emptywheel@aelkus The issues with such software are exactly the ones you describe: multi-layered, legacy, an accumulation of fixes -
@sergeybratus@emptywheel@Aelkus Oh, gee. That's also very sensitive data. Also, I just skimmed the OPM audit. OMG. -
@zeynep Note that many EHR/EMR systems were sold under a non-disparagement clause, so hospitals aren't free to publicly talk of failures.
End of conversation
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