THE PROGRAM comes at an essential time in the field. In the last 12 months, the RV144 Thai vaccine trial proved that an AIDS vaccine is possible, which combined with the identification of fresh potent, HIV-particular neutralizing antibodies, has re-energized AIDS vaccine researchers, advocates and funders. ‘This is the most thrilling period in HIV vaccine analysis within the last three years. As we enter this new period in HIV and vaccine prevention research, researchers, funders and advocates are grappling with both the enthusiasm of scientific breakthroughs and the realities of funding shortfalls.Why, Wachter asks, perform we do nothing very similar in health care? In a moving passage, Wachter speaks with a famous surgeon who once spent his evenings before surgery reading his notes on the next day’s patients. No longer. His notes have already been rendered homogeneous by the tyranny of clicks and auto-populated fields uselessly. I can’t actually picture their faces. The blanks on our screens can be filled with phrases, but the process of understanding can’t be auto-populated.