You mentioned cost.  Don't computers save doctors money?

Government bureaucrats opine that electronic records systems will enable physicians to operate their offices with fewer employees.  Most physicians find the notion of reduced personnel costs to be illusory.  With electronic record systems, physicians need employees to perform different tasks; but the office work force is not reduced.  During the transition from paper to electronic records, most offices need to hire additional personal to scan old documents (prior lab report, x-ray reports, photographs, office notes) into their computers and to review the paper documents before they are destroyed.  There is a tremendous disruption of work flow involved with getting rid of paper and getting all of these documents scanned into the computer; and computers never work right out of the box.  Additional technical support will be needed, and that is expensive.  Additional storage and off-site back up systems must be purchased, and all of these expenses comprise a mandate for doctors which remains mostly unfunded.