the last organization I worked for was under HIPPA rules, and everything we did was law. So our CEO and CIO (of course) could lower the boom if anyone did not cooperate. The funny thing is, it hardly affected the work flow.

Yes, the clients had to learn the new ways, and slow down at first, but because the new secure way of things caused many of our problems to literally drop off the planet; our productivity actually increased. Too bad regular commercial organizations can't see that!