My read on this is much different,
In Singapore a person keeps all his medical records on a small plastic card 
(like a credit card).  This way the patient keeps control of all their 
records and provides them to the doctor, clinic, etc where he or she chooses 
to have treatment.  No lost records or delays.  I once saw a demonstration 
by a doctor and a few computer types, in which he took a card out of his 
pocket, put it into a reader, and on the screen flashed all his medical 
history, lab tests, x-rays and a active picture of his heart beating.  Very 
impressive.  Without the doctors being in charge of this project, it would 
never have happened. Of course the records manager only plays a part after 
the patient is dead.  Understand there is also a group of hospitals in 
Boston that do the same thing for their patients.

Dr. Robert L. Bailey, CRM 

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