There you go attempting to sound all self-righteous again... The issue isn't "electronic records", since, as you've stated, most facilities already have them. The issue is the connectivity/accessibility of all records between entities. Right now today, the doctor in his office is not allowed to access the hospital records of the same patient, and vice versa. There is some level of inefficiency in that, but at least there's a chasm/firewall of sorts. Should everything become linked and cross-accessible, I have no doubt we'll begin to hear all sorts of sordid tales of mismanagement of data security. It would be inevitable.