yeah my product is awful but have you seen the other guy

Yeah, it’s this. I worked at Epic somewhat recently, and I’ve since worked with former Cerner/Oracle folks too. To Epic’s credit, they’ve never been acquired, and are better for it.

There’s a lot of vocational awe across the board, people genuinely trying their best to make the product good. But healthcare is inherently complicated, because people are complicated. Each individual health system needs it customized to their specific needs, and over time this can get hairy to support. Add on to that that regulations and guidelines literally change every year, and it can become really hard to make headway on more meaningful changes when you’re just trying to stay compliant.

This leads to burnout on the software support side, Epic churns through new hires like crazy - average tenure has been way down since COVID-19 (you can Google their response to that), so it’s a revolving door of 21-25 year olds keeping that ship afloat.

Also, yes, insurance companies are the ones making the big money, by a mile.