Sachin Jain received a glowing introduction by Mike Rosenblatt. Including his so-called three H attribute – Harvard College, Harvard Medical School and Harvard Business School as well as significant contributions to White House policy documents in the area of Health IT. Mike also described how Sachin was selected to develop a new function around health IT at Merck. Sachin then lucidly went on to explain the essentials of healthcare reform and the pivotal or pillar like role that health IT will come to play in this process. He emphasized that this component is now part of Federal Policy around healthcare and ultimately would be assessed through the monitoring of meaningful use of health records. The advancement of health care and the electronic record were designed to address issues of quality of care, measurement of outcomes, auditing and research. Sachin was also pragmatic in his approach, by clearly describing problems related to technology adoption by Doctors/ Medical Offices, the variety of different systems out there and the need to update current operational systems. The overall aim throughout is to be more cost effective in the delivery of health care and with better outcomes. All agreed that the electronic medical record is to medicine what the car was to independent transportation. All in all, Sachin gave a very clear presentation that would support the continued adoption of this important technology into medicine across the USA.