A Forum for Grinches and Ho-Ho-Hoes

[Hank Chinaski]

Originally posted by Replaced_Texan
Smaller isn't easier. Records get lost in small systems, because people keep on moving from doctor to doctor. Every single record in the VA system is electronic, and can be easily accessed from any VA hosptial if a patient moves or gets in an accident away from home. There's no continuity of care in smaller systems, because people's coverage changes from year to year as the plans drop some physicians and keep others. It's easier to find epidemeological trends in larger systems, with larger populations numbers to study for variances. It's easier to share information in a single large system than in several hundred smaller systems.

this reads like an American Splendor rant.