The economic stimulus bill to be signed on 17 Feb here in Denver, has an interesting section directing the Secretary of Health and Human services to study the availability of open source health technology systems and to compare the total cost of ownership against proprietary systems. The report is due no later than Oct 2010 and, depending on the results, could provide great momentum for open source medical software. Proprietary software often costs many thousands of dollars just for the software, once you add on the installation and support fees you can easily arrive at a total cost which overwhelms many small doctors offices. Read the exact wording from the bill here (please look at p 553 in the pdf document).