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The situation is bad for patients and costly for medical works: if doctors can't exchange records, they'll face a 1% Medicare penalty, and UC Davis alone has a staff of 22 dedicated to communication. On top of that, Epic charges a fee to send data to some non-Epic systems. Congress has held hearings on the matter, and Epic has hired a lobbyist. Epic's founder, billionaire computer science major Judith Faulkner, said that Epic was one of the first to establish code and standards for secure interchange, which included user authentication provisions and a legally binding contract. She said the federal government, which gave $24 billion in incentive payments to doctors for computerization, should have done that. The Office of the National Coordinator for Health Information Technology said that it was a "top priority" and just recently wrote a 10-year vision statement and agenda for it.
As security software goes, we observed a product with a keystroke-capturing function, also called a "keylogger," that could place a family's personal information at extreme risk by transmitting what a user types over the Internet to third-party servers without encryption. EFF conducted a security review of ComputerCOP while also following the paper trail of public records to see how widely the software has spread. Based on ComputerCOP's own marketing information, we identified approximately 245 agencies in more than 35 states, plus the U.S. Marshals, that have used public funds (often the proceeds from property seized during criminal investigations) to purchase and distribute ComputerCOP. One sheriff's department even bought a copy for every family in its county.