Most of the existing EMR solutions have such a huge baggage to carry that sometimes i wonder that whether vendors are there to push the doctors or help Doctors. Doctors are not the only one to blame in low EMR adoption of as low as 8% for single provider practices. I have met more than 100 Doctors in last one year and realized one thing which is in common. Vendors just don't care about them, at least that's what Doctors feel. Doctors don't have tons of money to spend and don't need all the jazzy features. And I know the reason for all the jazzy features. What vendors are trying to do is to take a truck and cut it down in size by 8 and sell it as car. Most of the vendors have a lot of baggage to carry which they get from their experience with hospitals. Here comes vendor's perspective. For a vendor it's extremely frustrating to sell to small practices. Every vendor understands that there is a multi-billion dollar market waiting to explode. The problem is that it takes selling to Doctors, one doctor at a time. All traditional selling methods seem to fail at least mathematically. big vendors use channel partners but in that case the buck is shifted to the partners or resellers. Question is if traditional models have failed, how do you make a sell. Internet? It can work for tech-savvy doctors ( small minority) but that still does not address the major chuck of market. Whenever there has been a business problem like this in past, innovative solutions have been found. That's been a great thing about America. Lets see what new ways american entrepreneurs find.