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National Health Information Network Cost and Structure
TO THE EDITOR:
I was dismayed by the superficiality that underpinned much of the article by Kaushal and colleagues (1). The wholesale adoption of the Santa Barbara County Data Exchange (SBCDE) as a working model for the nation because it could provide good cost data seems something like a drunk looking for his keys not near where he dropped them but instead beneath the streetlight because that is where light is.
By using the SBCDE as a template, the authors reasoned that “Each data supplier requires a dedicated server to store aggregated data for exchange.” With that server come several associated expenses that include, but are not limited to, staff and equipment to perform routine data backups, staff or contracted services to keep …
