I was at a class/meeting last Saturday that turned out to be very important! I wanted to learn how our clinic could become a patient centered medical home (PCMH). I was one of the main people who pushed for this class but just before going I had changed my mind and did not really want to participate. I am now glad I went. I was taught a good deal about why so many changes are coming in health care and why it has become so burdensome. It was a long talk so I can't tell it all here but to recap this has been coming on for many years, even since the first president Bush was in office. Every administration has continued down the same road and will continue going forward no matter who is elected. They have seen that health care is not sustainable as it now operates. But getting everyone to change is very slow and difficult! So at the present time most insurance companies are in the process of gathering patient data so they can figure out how to save money. The electronic health record has been necessary for gathering this data. We are all being incentivized to be a part of gathering data. It will continue. The people who will come out ahead are those who write the best clinic notes and record the most data about their patients. Through all of this data collection we are supposed to develop better doctors. If we can watch our data we are supposed to see what we are doing well and not so well. We shall see! The only part I like about it all is that we are supposed to get paid better for spending more time with our patients. Again, we shall see!