A cliché is a saying, expression, idea, or element of an artistic work which has been overused to the point of losing its original meaning or effect, rendering it a stereotype, especially when at some earlier time it was considered meaningful or novel.
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A metaphor is an analogy between two objects or ideas, conveyed by the use of a word instead of another.
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A stalking horse is a person who tests a concept with someone or mounts a challenge against them on behalf of an anonymous third party. If the idea proves viable and/or popular, the anonymous figure can then declare their interest and advance the concept with little risk of failure. If the concept fails, the anonymous party will not be tainted by association and can either drop the idea completely or bide their time and wait until a better moment for launching an attack.
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A straw man argument is an informal fallacy based on misrepresentation of an opponent's position. To "attack a straw man" is to create the illusion of having refuted a proposition by substituting a superficially similar proposition (the "straw man"), and refuting it, without ever having actually refuted the original position.
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An informal fallacy is an argument whose stated premises fail to support their proposed conclusion. The deviation in an informal fallacy often stems from a flaw in the path of reasoning that links the premises to the conclusion.
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Steve Lohr's article: The Agenda Behind Electronic Health Records probably should be retitled: The Metaphors of Electronic Health Records.
Jonathan Bush balances "cash–for–clunkers" spent on "big, old–line vendors" that "stand to gain [on] Web–based insurgents" "keeping grandma alive on Medicare," with "real money" and "pay–for–performance.
David Blumenthal emphasizes "less about technology" and more "about changing the terms of trade in health care," "to correct a market failure" because "[t]he market doesn’t reward performance," and the "electronic health record…is…a stalking horse—for…changing compensation of medicine and the economics of health care."
Bowen states "the legislation was inadequate," "the most that could be done politically," "the potential to be a game changer," and "meaningful use is on its way to becoming the two most important words in health care."
The conclusion is that the compensation of medicine and the economics of healthcare must be changed. Change must be better aligned with demonstrable and quantifiable performance. Performance surrogates can be observed and measured reliably, and constitute meaningful use of health information technologies. Meaningful use has been politically determined and can be incentivized with remunerations. The premise is that politics and financial incentives can change the compensaion of medicine and the economics of healthcare. Blumenthal's stalking horse is actually a straw man…
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