Who gets the blame? Good points made in this article about where it all begins. IT has to work within budgets as does every other area of a company or hospital. The direction has to come from the top executives of the company, thus in today’s world having some technical knowledge in the executive departments is surely an asset to understand the complicated evolving world of how our world and lives are changing due to rapidly changing world of technology and how we work and interact today. One good 
example of this is CIO Dr. Halamka of Beth Israel, who is not only a physician but also a very knowledgeable person with IT, so they in essence are getting the best of both worlds and you can see this as published in story after story on the web relative to the advancements being made at their facilities and they also have a forward looking CEO, Paul Levy who takes time to blog and share their experiences and advancements in all areas. There’s a lot of good work and advancements coming from their facility alone and setting the pace for others to perhaps follow. Yes, they are in Massachusetts, the #1 technologically advanced state too. BD
Basically, management’s abdication of its IT responsibilities allowed the data processing culture to evolve unimpeded - and thus created another self-fulfilling prophecy: treat IT as a cost, isolate it from users organizationally, and what you get is a process driven, non responsive, cost center.
So what’s the bottom line? When you see unhappy users, IT costs that are radically out of line with benefits, and a dramatic disconnect between what’s happening in the organization and thirty years of computing progress - don’t blame the IT people. Yes, many of them fit the MCSE stereotype, yes many live by Windows or zOS/zVM, and yes they’re often completely techno-illiterate outside their comfort zones - but they’re responding to directions set by upper management. Want to blame someone? blame the people who aren’t doing their jobs, the people who let this situation fester: blame, in other words, the people in the executive suite.
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