It might slow adoption down. But what if all of our wishful thinking prophets are wrong about the fiscal impact of a more connected digital healthcare delivery world? What if it is not a significant root cause for our quality and cost issues. Then slowing adoption will not have much impact on America. We have fundamental cultural issues to deal with like life style, obesity, lack of exercise which are primary drivers of our illness burden. Once connected, I bet we will not for certainty be able to measure its neutral or positive impact on population health. Are we betting on a horse that can't run and will a connected system only have marginal impact? It isn't clear at all. Rob MD