NoSQL movement

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VistA Evolution: What's Wrong With this Picture?

The VA has begun awarding a number of very high-value contracts under the umbrella of the VistA Evolution initiative (eg to ASM Research/Accenture), but in my opinion, there are problems looming on the horizon.  From what I understand about the direction that these projects are taking (with encouragement, it seems, from within the VA), there’s a real risk that we’ll see a repeat of previous attempts to modernize VistA, the result of which was very expensive failure with essentially nothing to show for it.  The losers, if this happens, are not only US taxpayers: it’s the Veterans whose future welfare depends on VistA4 being a success.

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