Recent conversations with knowledgeable colleagues has recently reached a point where it is difficult to have a rational conversation about any aspect of Electronic Medical Record (EMR) software without having to invoke an entire other discipline to speak about it. As well, the lines of demarcation between EMR software engineering, law, licensing, economics, politics and public policy has now become so intertwined that it is becoming nearly impossible to tell where one ends and another begins. A nexus may have formed in which these are inextricably linked.