I wondered if it was something I ate. Maybe I am not getting enough sleep, or someone slipped something into my coffee. I don’t know, but yesterday I saw the following headline:
Wal-Mart Plans to Market Digital Health Records System.
No, it wasn’t on The Onion, it was actually in the New York Times, which doesn’t have a history of doing gag articles, so it must really be true.
The company plans to team its Sam’s Club division with Dell for computers and eClinicalWorks, a fast-growing private company, for software. Wal-Mart says its package deal of hardware, software, installation, maintenance and training will make the technology more accessible and affordable, undercutting rival health information technology suppliers by as much as half.
Whoa.

Sam’s Club? I can get a slush and polish sausage while getting an EMR? Do they sell them in bulk so that the academic institutions can get a discount? Do you go to Sam’s to get a “Big Box of EMR?”
Yes, it turns out:
The Sam’s Club offering, to be made available this spring, will be under $25,000 for the first physician in a practice, and about $10,000 for each additional doctor. After the installation and training, continuing annual costs for maintenance and support will be $4,000 to $6,500 a year, the company estimates.
I suppose this is a step forward. I can see all sorts of things Wal-Mart can do once they have accomplished putting a cheap EMR in every doctor’s office.
- Endoscopy suites next to the Tire Center.
- Big Barrel O’ Botox
- “Equate” brand Vaccines
- Senior citizens standing at the end of the aisles doing rapid strep tests and handing out sample hemoccult cards.
There are many interesting possibilities.
Now we wait for the K-Mart/Allscripts deal and the Target/GE Centricity alliance. I can just imagine two internists fighting each other over EMR licenses on Black Friday, or urologists lining up outside to get the big sale on cystoscopes.
It’s a brave new world, folks.
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