I don't want computerized files flying around if it means everybody and anybody with some hacking ability can access them in flagrant violation of privacy law.  I've experienced problems with what appears to have been unauthorized access to my health records - it's not a laughing matter.   

The charges against the nurses who peeked at patient records a couple of years ago are just the most mundane and obvious version of the problem.  

Security and encryption are going to be important as well as intelligently deployed systems.   The spending trajectory won't always  be downward for each individual line item on the list of expenses, which is why absolute language doesn't accurately reflect what needs to happen to transform the system.

[nota bene:  I'm not speaking in reverse.]