I am a physician in a rural, remote, and northern setting. Every single day my ability to do my job is hamstrung by a lack of information and the quality of care I can provide is compromised. Missing records, faxes that go nowhere, lab results that never come back, and patients who have no access to their own personal health information - this is the norm. I regularly medevac people out of remote communities via helicopter or plane, and in many instances could avoid this cost and disruption if there was coherent access to their information. I am supposed to enable patients to make decisions about their health, share care with other providers, and make the patient the center of their care, but their information is locked into systems that make the provider the center yet is also inaccessible to other providers. We can't share care, unless we share information. We can't provide patient centered care unless we build patient centered information systems. And we can't do either of these unless we drastically overhaul of how we approach health data, and this legislation is an excellent first step.