I speak to a lot of Clients/Doctors as a consultant to the industry on technology concerns, and while I can say that most EMR/EHR users are generally happier now that they are off paper, I have not talked to a happy NextGen user yet. As a matter of fact, I can think of a half dozen practices that are contemplating bringing suit against the company for complete product failure. I typically try to steer people away from them. I am a New England based person, so maybe its just a geographic occurrence, but it is a reoccurrence for sure... hopefully they are adjusting whatever is wrong b/c its bad for the industry when a vendor this large underperforms this badly.