Excerpt: [The goal to achieve a paperless health care system by 2010 set by the Institutes of Medicine in 2000] could only have been met through a moon-shot effort organized at a national level. There were four or five things the government could have done and would have had to do to accomplish this by 2010. Even then, we might have gotten 80 percent of the country wired. The last 20 percent is always the hardest.  MORE >>