There is an interesting article written on the www.healthcareitnews.com website regarding EHR use in the U.S. and how adoption is on the rise. The article cited a 2012 Commonhealth Fund survey which stated that 69 percent of primary care physicians in the U.S. reported using an EMR, compared to 46 percent in 2009. While adoption of electronic health record systems is up, the U.S. healthcare system continues to endure problems as far as affordability goes. 59 percent of responders reported that their patients often have trouble enduring healthcare costs. Compare that to Norway at 4 percent, the U.K. at 13 percent and Switzerland at 16 percent and it shows how far behind other developed nations the U.S. is in providing affordable healthcare to our patients. We as a nation also stand out in another negative unit, after-hour patient care. While 95 percent of U.K. doctors, 90 percent of doctors in New Zealand and 89 percent in Germany provide after-hour care options to their patients, U.S. doctors reported a lackluster 34 percent. Lastly, we also lag behind, along with Canada, in the usage of multi-functional capabilities in our electronic health record systems. 68 percent of U.K. practices and 60 percent of Australian practices said they had the capability to generate patient information such as medication lists provide decision support through their EHRs compared to 27 percent in the U.S. Clearly we can see we’ve come a long way in the last decade but we must also realize that Obamacare is just a first step in the adoption of first world healthcare practices and we must push forward to do more so we can achieve healthcare and healthcare affordability to the level of other first world countries.