I agree completely. For us IT-people in healtchare i think #6 is specially relevant, at least here in Sweden. Closed standards, compatibility issues and outrageous prices of journalsystems are a big problem for our organization and have forced us to keep using software originally written for Windows 3.1. Something which causes a lot of trouble for me as an administrator. An open universal standard for medical journals is something we must agree on to stop the ridiculous situation we are in now.