The major hole here is that you turn off your notifications and don't have a bunch of database records, but the threat actor somehow finds out who your contacts are, gets a hold of their phone, and can then see all of the messages you sent via their notifications database. So if you want to trust the device for secure communications, you can't do that.

It's like when you try to keep something from being taken by bolting it down and they just come in and steal the bolts too. Some of that's just a part of life.

... I don't hope for that?

I think there was an effort to try to stick to it, at least early on after WWII when people had seen what the old system resulted in.

Then the Berlin blockade, Korea, and Hungarian intervention happened and the implication was made that the rules were what were to be aspired to, not actually followed, and it's been all downhill from there.

Incidentally, most of those aren't on the "Us empire".

We were shuffling capital to China after Tiananmen Square. People were talking about how we should have left Saddam alone because of how "orderly" Iraq was under his boot. Europeans were happy to ink the plans for Nordstream 2 after Russia sent tanks into Georgia, and Russia received no less than a FIFA World Cup and Olympic games after seizing Crimea.

There is incredibly little will to stick to the whole "humans have rights and we should have a rules-based international order" when the rubber meets the road.

Redefining competence and intelligence as "ability to make money" has done untold damage to American society.

I still receive her mail.

Here's the kicker: the mail is addressed to a name she hadn't legally had since the late 1970s. She divorced and remarried - which meant taking her new husband's last name - then lived another 30-ish years, died, I moved in, and it's been ten years of me there.

It's an insanely wasteful practice.

It needs to enter the inbox of a grand jury docket.

I wouldn't want to be the hospital executive sitting for a deposition on a medical malpractice suit, explaining how instead of using Epic or Cerner or whomever, they decided to let AI and a bunch of recent college grads from the lowest bidder consulting firm replace a known system. Sounds like a good way to wipe out whatever you saved in costs with court judgments.

Also, switching EMRs is a huge pain in the ass. When I was a fresh-faced employee at an EMR company they sent me and other employees out to help deploy a new system in a client's hospitals in another city. This took a small army of employees, contractors, travel nurses, and consultants to do. Your ass was up at 3 AM, back at your hotel room at 8 PM. Nurses didn't care about what your program did, they wanted it a certain way and they wanted it fixed now. You're hopefully not going to have the hospital leadership saying, "Yeah, you can try this and if you fail, we'll switch again in three years". I can't imagine many healthcare systems doing that, particularly if the physicians are a major component of management.

Is this on the grounds that you can do it yourself?

When sh!t hits the fan, Anthropic will immediately point to this clause. Who knows, maybe a court would see it as valid.

Meanwhile, your customer (and thus, your management) is looking for someone to blame for excrement making contact with the impellers. And that someone's gonna be you.

Cerner isn't an EHR, it's an EMR. EHR == Electronic Health Record. Your FitBit data is an Electronic Health Record. EMR == Electronic Medical Record. Your doctor's records, how much blood thinner that nurse is supposed to give grandpa, and whether or not he's a fall risk are things you'd put in an EMR.

You can't just vibecode your way to replacing an EMR. Cerner Millennium has a shrinking, but substantial, footprint at healthcare systems across the country and around the globe. There are 25+ years of bugfixes, caveats, architecture, and other pieces of knowledge to be tracked and accounted for, and you must do so, because if you don't, people under the care of doctors could die.

It's also worth noting that the DoD uses Millennium for active service members, and I think they also use it for TriCare. American taxpayers are on the hook for dealing with the problems that Oracle's cost cuts will produce.