I work in the medical research space and we have to integrate with EMR systems to get our data. I don't think software is the root problem, but rather the root problem is "there aren't incentives for good CMSes"--namely, there's no incentive for systems that talk to each other because healthcare consumers don't think about this when choosing a hospital and hospitals don't have any incentive to make it easier for their customers to leave their system (and EMS vendors certainly don't have that incentive). Ultimately the question is "why do we believe EMSes are valuable, but no one can figure out how to make money from making them better?".

Yes, I absolutely agree that there is a problem with greed, ego and hubris in sillicon valley. Just wanted to point out that not all engineers fall in that category. I think that confidence in writing solid software when paired with humility can lead to good outcomes. To me, it seems like the ego and hubris issue can cause the most amount of problems when an individual (e.g. zuckerberg) takes on a savior and machiavellian complex. It seems like most of them actually believe that they are making the world better and they don't see the harm that their self interested blood thirsty capitalist side does at all.