If the sun fails then there’s always the tanning booth where in fact the same effect can be achieved. European ideals of beauty became Western ideals and very quickly got tangled up with race and natural complexion. Black women had been in the unenviable placement of never having the ability to match up to the wonder standards. They would bleach their skins in order to look a bit more white and a bit more beautiful. The ‘dark beauty’ movement of the 1970’s challenged the pre-existing beauty norm and proceeded to go quite a distance in changing the African-American idea of themselves and their beauty.As Koppel explains, even something ostensibly simple, such as blood-pressure measurement, can get lost in translation due to the modifiers accompanying the amounts: standing, sitting, preinjection, labile, noncompliant. So imagine a common language for MRI reviews or operative notes. Although market influence is indisputable, such an description conflicts with the impression I got from Judy Faulkner, ceo of EHR maker Epic Systems, who advocates for government-created criteria. Whether other vendors are prepared to make their products interoperable, government frequently overrides industry’s financial interests to achieve a greater public good. I’m all for people with vision problems. However now I must put my most talented staff on this problem even before sorting out the fundamentals of transmitting info.