September 10, 2017 Jorg L. De Bruin, M.D cognition-enhancing drugs ., Annette F. Baas, M.D., Jaap Buth, M.D., Monique Prinssen, M.D., Eric L.G. Verhoeven, M.D., Philippe W.M. Cuypers, M.D., Marc R.H.M. Van Sambeek, M.D., Ron Balm, M.D., Diederick E. Grobbee, M.D., and Jan D. Blankensteijn, M.D. For the DREAM Study Group: Long-Term End result of Open or Endovascular Restoration of Abdominal Aortic Aneurysm Randomized trials show that endovascular repair provides a perioperative survival benefit more than open repair for patients with a big abdominal aortic aneurysm. At the time, however, less than 17 percent of physician practices were using EHRs, and their systems lacked necessary data-capture capabilities often. Given the high up-front side costs and uncertainty relating to future returns, cultural and economic hurdles to adoption were formidable. Wachter interviewed three previous national coordinators for health information technology : the libertarian-inclined David Brailer, who offers such faith in market-driven creativity that he barely believed in the organization he was leading; David Blumenthal, the consummate diplomat, whose $30 billion budget was 71,000 percent greater than Brailer’s and who, in precipitating widespread adoption, was the most successful leader arguably; and Farzad Mostashari, the most controversial perhaps, whose hard-range insistence on the significance of Meaningful Use 2 has been widely criticized.