1. Biggest obstacle in US is willingness on the Part of Providers (read Doctors/hospitals) to implement such a thing.. and what are the incentives for them.. Need to consider such thing in India..
2. I don’t think the model where Patient need to pay will work. All these have to be sponsored through health plans and Govt funding.
3. We have to analyze how Google health and Microsoft Healthvault (etc etc) will shape the healthcare industry.

Also we need an initiative similar to US. First 5 or 10 years, doctors and hospitals should be encouraged to adopt EMRs (and provide them incentives for that). After that, there would be penalty for adopting these. It’s not a question of whether hospitals and doctors need these and whether they are willing to go online. These should be done through policy implementation.

I have some more thoughts around this. Keep watching this space!!