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one of the biggest challenges in healthcare is getting patients to understand what they need to do to take care of their health and then actually do it we can talk about diabetes hypertension weight control until were blue in the face but it doesnt mean a damn thing if the patient doesnt do something about it open notes is very simple doctors notes would be open to the patients this is a real change Im Lynne Saxton Im 79 years old Im Mary Ellen Sexton Im 77 and we have 10 grandchildren and 6 great-grandchildren which you can remember all the birth dates or most of them where I cant I hadnt been to a doctor much until I was 156 years old or something then I had a heart attack he had gallbladder surgery knee repaired hip replaced my voice and were very good at telling people what to do were very good at hoping that theyll do it and we know that weve been very bad over the years and getting people helping people urging people convincing people to take real responsibility fo