Acquiring a horse may be inexpensive or even free—then the expenses mount: vet bills, boarding, training, new equipment, not to mention all time dedicated to your new pet. Similarly, your EHR may be cheap or free, then IT fees, hosting fees, hardware, update fees and user training all have to be paid for. Now, imagine the government telling us we all need to buy a horse and keep it for life—great for the horse industry, but perhaps not for you.

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