I believe that PHRs will be slow to start. Few people will take the time to research them and spend the money. The user needs to learn the new software, go back through one’s records, and enter the data. People do not have time or the patience to do this. It only adds more complexity and one’s health is not always a priority. For PHRs to take hold, they should be provided free in with an integrated and easy to use interface by the health insurance company. The person will be sent information about how to access one’s PHR, which will have all the health information there. Optimally, when the person changes health insurance providers, the information in the PHR will be transferred to the new provider. However, health insurance companies may be reluctant to design PHRs because they do not know what to include and the cost cannot be justified.