When technology "disrupts" it creates winners and losers. Hello smartphone! So long camera, encyclopedia, newspaper, book, CD, courtship, attention span. Disruption isn't just inevitable, it's righteous. Question tech and you're not only a relic, you're a job-killer and a Luddite, and possibly a Unabomber. The information technology tsunami has hit so fast that most of us haven't had time to think about what we might be sacrificing by trying to ride it. And that's particularly true when it comes to the delivery of health services. With the best of intentions, the Obama administration six years ago launched the HITECH Act, a $30 billion program to put electronic health records (EHR) in every hospital and doctors' office.