The way to address this in a free society is simple–just wait for those who stand to benefit from it to ante up the money to pay for it, and ingore all the intervening hot air. When the government and insurance companies actually really believe what they are saying–that it will save money, then they will over higher reimbursements to those who adopt them. Until then, why pay attention?

I most emphatically disagree with mandating them as a condition of Medicare participation. Kevin aways has a simmering impulse to new regulation, law, mandates etc. If practitioners have particular reasons to prefer to not adopt it, even with financial incentives, then the possibility that they know what works best in their practice needs to be considered and that decision left to them. If in the end large numbers of docs don’t convert with no apparent ethical, business, or clinical barriers, then that is valuable information—that they incentive isn’t high enough.

I do wish we would stop coming up with new ways to limit our freedom.