[...] How would it help if, in the awful and explicit way of computer systems, Reggie made clear what everyone knew-that there was a little fudging going on around the edges, so that providers could get a little extra and give a little more. In the absence of the machine, everyone could wink at these small rough edges. But Reggie-cute little Reggie with its guacamole-colored screens and the smiling face of an African-American man with AIDS-could make it all plain beyond deniability. "Don't do this," I said to the director. "Once you have this information, you'll have to do something about it."

But she was adamant. "The people paying for this system have a right to good data!" she declared.

In this way, the system became the justification for the system. We collected data, therefore it had to be "good" data. And since we could link one database to another, since it was possible to cross-check data here with data there, well, we should link them. And what was designed to store patients' information as a service for them, had somehow become the property of the "people paying for this system"- an agency of the federal government.