https://www.politico.com/story/2018/04/30/trump-doctor-health-technology-508297

«Dr. Bruce Moskowitz, an internist and friend of Trump confidant Ike Perlmutter, who advises the president informally on vet issues, objected to the $16 billion Department of Veterans Affairs project because he doesn’t like the Cerner Corp. software he uses at two Florida hospitals, according to four former and current senior VA officials. Cerner technology is a cornerstone of the VA project.

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“Shulkin would say, “Who the hell is this person who practices medicine in Florida and has never run a health care system?” said the source. He said Moskowitz’s involvement was one of the irritants in Shulkin’s dealings with other White House-appointed officials, which contributed to his being fired March 28.

The behind-the-scenes talks, where Moskowitz questioned various aspects of the program, illustrate the degree to which members of Trump’s circle have been able to influence government decisions, even about extraordinarily specialized subjects.

That involvement has stupified policymakers, especially since members of Trump’s family had pushed the opposite agenda: Trump’s son-in-law, Jared Kushner, was instrumental in Shulkin’s June 2017 decision to choose the Cerner Corp. system with a no-bid contract.

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While Moskowitz’s complaints about the software he’s used in Florida are not unusual, IT specialists at the VA felt that he was out of his league in evaluating the Cerner deal. After listening to his complaints, a team of investigators from VA’s Office of Information and Technology looked into the Cerner system that Moskowitz uses at two Tenet Corp. hospitals in Florida and found that it was out of date, two sources said.

Yet Moskowitz assumed that if his hospitals lacked a feature, it meant that Cerner could not produce it for the VA, they said.

‘”He’d be, like, ‘It doesn’t’ have voice-recognition software.’ Yes, Cerner does have voice-recognition software. But it isn’t installed in all Cerner hospitals.”

“This was part of the rub between Shulkin and the Trump people,” the first source said. “This guy’s whispering in Trump’s ear, ‘I know because I have to use it!’”»