Doctors often distrust EHR, finding it inefficient and costly. But that is because of the ill-conceived private contracting strategy. Sadly, with dozens of businesses vying for the market, doctors were stuck with expensive, time-consuming attempts to guess which proprietary system to purchase. The Centers for Medicare and Medicaid Services (CMS) attempted to encourage EHR implementation with financial incentives for doctors to show "meaningful use" of their systems. But in practice, this amounted to a financial penalty for the doctors if they had guessed wrong in choosing a system that had left them, in spite of their best efforts, with the equivalent of a car without tires or a road on which to drive it. According to a recent survey by Black Book Rankings of health care information technology, up to 17 percent of physician practices plan to ditch their current EHR system. Recently, hospitals with EHR programs from EHRMagic Inc., were stranded when this company's products were decertified. Earlier this year, Marilyn Tavenner, the newly confirmed administrator of CMS, announced a pause in EHR implementation to assess problems thus far.