IMF mainframe.

Cisco IBM mainframe

And this is mainframe healthcare.

You know, this is the mainframe.

No modem access to a mainframe.

Access codes to the Zion mainframe.

It's amazing. The mainframe computer was invented in 1942.

We can't afford mainframe healthcare today to include the uninsured.

Welcome IBM, you huge successful East Coast mainframe computer company.

And this mainframe computer was going to help them with that job.

The leader of every ship is given codes to Zion's mainframe computer.

Well of course a mainframe computer in 1957 wasn't much use for that job.

We're not thinking about how do we shift from the mainframe to the home.

Spencer Tracy brought a computer, a mainframe computer of 1957, in to help the librarians.

If an agent got the codes and got into Zion's mainframe they could destroy us.

We have to shift from this mainframe mentality of healthcare to a personal model of healthcare.

OK, so it wasn't your usual computer, this was a mainframe computer that filled an entire building.

And it was reflected in our architecture, it was reflected in the way that we taught students, and this mainframe mentality persists today.

So, one of the reasons it's so challenging to prepare for this Y2K problem is, I want to argue, we have what I would call mainframe poisoning.

Our entire health reform discussion right now, health I.T., when we talk with policy makers, equals How are we going to get doctors using electronic medical records in the mainframe?

Andy Grove, about six or seven years ago, he doesn't even know or remember this, in a Fortune Magazine article he used the phrase mainframe healthcare, and I've been extending and expanding this.

And just as 30 years ago we couldn't conceive that we would have the power of a mainframe computer that took up a room this size in our purses and on our belts, that we're carrying around in our cell phone today, and suddenly, computing, that used to be an expert driven system, it was a personal system that we all owned as part of our daily lives that shift from mainframe to personal computing is what we have to do for healthcare.

It's just been industrial, which means those who were producing had to have a way of raising money to pay those two and a half million dollars, and later, more for the telegraph, and the radio transmitter, and the television, and eventually the mainframe.

We collect a bunch of biological information in this artificial setting, and we fix them up, like Humpty Dumpty all over again, and send them home, and hope we might hand them a brochure, maybe an interactive website that they do as asked and don't come back into the mainframe.

I have tried for two years, and there were moments when we were quite close, to make this healthcare reform bill be about reform from something and to something, from a mainframe model to a personal health model, or to mean something more than just a debate about the public option and how we're going to finance.