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Minor nit - enterprise EMRs brand themselves as EHR because they consider it more encompassing than just medical records.

I agree on other points.

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> You can't just vibecode your way to replacing an (sic) EMR

Absolutely, but you can now demand a market leader like Epic to give you a significantly better discount (eg. 20-30% over the 10% you may have previously been offered).

And that is the crux of the "SaaSpocalypse" and why you are seeing targeted layoffs in Oracle specifically for their ERP and EHR products.

> It's also worth noting that the DoD uses Millennium for active service members, and I think they also use it for TriCare. American taxpayers are on the hook for dealing with the problems that Oracle's cost cuts will produce

Absolutely, but they were already on the hook for that before Cerner became a part of Oracle.

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> Absolutely, but you can now demand a market leader like Epic to give you a significantly better discount (eg. 20-30% over the 10% you may have previously been offered).

Is this on the grounds that you can do it yourself?

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