Much of the US’s civilian healthcare system is fragmented too: while it is easy to transfer healthcare records between doctors in a country such as the UK, it is very difficult to do so in much of America. And the VA is certainly not the only one with archaic practices: although there are corners of the public sector that are using the latest technology — such as the City Halls in New York and Chicago — most federal agencies have been almost as slow as the VA to introduce 21st-century ideas.

美国的平民医疗系统大部分也不统一：尽管在英国等国家，在医生之间转移健康档案很容易，但在美国大部分地区却很难做到这一点。退伍军人事务部肯定不是唯一使用原始方式的机构：虽然部分公共部门正在使用最新的技术——如纽约和芝加哥市政厅——但多数联邦机构在引入21世纪的理念方面，几乎都像退伍军人事务部一样缓慢。

The good news is that moves to change this are under way. Various private-sector entrepreneurs are launching innovations in healthcare IT, and there are campaigns to upgrade public-sector digital know-how. The non-profit “Code for America”, for example, is campaigning for computer geeks to volunteer to spend a couple of years working for government, in much the same way that the better-known “Teach for America” encourages graduates to work for a time in the country’s public schools.

好消息是，改变这一状况的行动正在进行之中。许多私营部门创业者都在医疗信息技术领域发起创新，还有各种旨在提升公共部门数字技术的活动。例如，非营利组织“为美国编程”(Code for America)正在争取让计算机极客志愿为政府工作几年，这与更为人熟知的“为美国教书”(Teach For America)鼓励毕业生在美国公立学校工作一段时间非常相似。

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