The laws require "meaningful use", to prevent doctors from buying the machinery but just letting it sit on the shelf. Initially, the inducements are in the form of carrots (rewards), but later they turn into sticks (penalties):
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These EMRs will be used to track physician compliance with "practice guidelines".
When Big Brother watches your doctor and decides whether or not your doctor will get paid, it could lead to a chilling effect on physicians' ability to use their best independent judgment.