Mike Koriwchak of the Docs 4 Patient Care Foundation argues that federal incentives designed to encourage the adoption and use of electronic health records (EHRs) have had the effect of stifling innovation, not accelerating it. Physician satisfaction with EHRs have fallen precipitously since the federal government's incentive program was put into place as a result of the 2009 stimulus legislation. Koriwchak explains that the early adopters of EHRs had different needs, preferences, and tolerances for the new technology than later adopters. According to Koriwchak, the program destroyed the spirit of innovation and replaced it with a spirit of compliance. The best approach to innovation, he argues, is when customers and innovators drive new products forward under a system of voluntary, mutual benefit, and not one with artificial incentives.

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