However, the field has narrowed to the extent that we essentially have a duopoly with Epic and Cerner. That clearly favors generous pricing policies. Also, Obamacare, specifically the IPAB, will require reams of centralized data in order to make their lordly coverage choices. Obamacare can't function without the help of Cerner and Epic, so the money will have to continue to flow. This is state capitalism at its best.