Eliminating jobs is not the only way to cut costs. In the large medical practice where I work, EMR is allowing us to free up enormous amounts of time for clinical staff who are snowed under by paperwork, while reducing errors and speeding patient service. Overall, EMR leads to a shift away from paper-shuffling jobs and towards more technical jobs. If hiring an IT worker cuts down the amount of time a group of doctors spend dealing with paper records, that’s a significant cost reduction through a new hire. If those 212,000 new workers improve efficiency and eliminate waste, that can be money saved, not to mention improved patient care and the benefit to the economy of putting people back to work.