You live in the Medical World with very little choice in what you use. Here the medical profession has the choice between 2 programs neither of which suit their needs all that well.
To make things worse they are not rewritten all that regularly either so they tend to require older software meaning OS's as they are not Certified to run on the newer software.
It was very recently that the Main Medical Package here was rewritten to run on Vista from XP, at the time I was testing a RTM Version of 8 so it's hardly the Latest and Greatest and a bit before that it was finally certified to be used on Server 2008.
The company who uses that is currently Testing the Free Nix Option where the Practice Owner is running on a Nix Box and Server to see if it's good enough for their needs or if it's worth the time & effort to change.
The reality however is that with any Specialized Software and all Medical Software falls into that group you are as far behind the Bleeding Edge as it is possible to get so you are always following the trend never leading it.
Keep Up with TechRepublic