After some 25 years of consulting/professional services in IT and working probably a dozen or more health care industry businesses or hospitals themselves, I can honestly say they are the worst clients and most I will simply refuse now as a rule. I've never met one that wasn't run poorly run, overly political, low paying, high spending, morale/morally deprived... I could go on, but mostly mismanaged applies, and more so this is universal when it comes to their EMR software systems, as every one needs one.

One need only google "Oracle failure" or visit theregister.com to see a list of atrocities committed yearly by Oracle for ERP and Financial system implementation fiascos, buying Cerner for their EMR that was already bad to use could only make it worse. It's like bad and worse got together to make a baby, but what are your alternatives in the space? I never met an ERP that wasn't a mess, or the staff that tend to manage them. Oracle just keeps expanding, because why be a lesser evil?

If you work in the medical IT field, you have my condolences, and my best advice is don't. The only ones that win are the executives above their meat shields and the investors. If you have to visit one in the US, you also have my condolences, as you'll see first hand the product above commentary.