In a New Yorker article, Atul Gawande1 examined reasons “why doctors hate their computers.” A better question might be, “why do US doctors hate their computers?” In this issue of JAMA Internal Medicine, the study by Holmgren et al2 points to a portion of the answer, presenting data on the differences in physician time costs between US and non-US clients of the same electronic health record (EHR) vendor.