In 2009, the bipartisan HITECH Act pledged $36 billion to subsidize the adoption of Electronic Health Records throughout America's fragmented, profit-driven health system, promising that the system would modernize American health care, save $80 billion (and countless lives), and deliver a host of other benefits; a decade later, the EHR industry has blossomed from $2B to $13B, and adoption is up from 9% to 96%, and it's a catastrophe. Part of the problem lies in the structure of the HITECH Act itself: it created incentives for practices to buy "certification" EHR tools, but that certification was incredibly lax and allowed all kinds of terrible, buggy code to attain certification.