The document discusses the HITECH Act and Meaningful Use mandates, which aim to increase adoption of electronic health records (EHRs) through financial incentives. While EHRs can improve healthcare, their implementation has been challenging and costly. The HITECH Act provides funds to organizations that meet requirements for meaningful use of EHRs. However, this has led to rapid and overwhelming adoption of technologies. The document debates whether these mandates effectively drive healthcare IT change or result in poor implementations that impact patient safety, ethics, and quality of care.