The article discusses initiatives to create and deploy an electronic health record (EHR) system. The system is designed to reduce medical errors and lower health care delivery costs. The author compares approaches and experiences in the United Kingdom (U.K.), United States, and Australia. In Australia and in the U.K., the process of developing the EHR system is funded and controlled by the government. However, in the United States, the government is neither funding nor calling for a centrally located database of EHRs. The article discusses many of the privacy, capacity and technological concerns about the development of EHR systems.