Newsforge re-visits Largo, Florida in this article which a year ago was the subject of a report entitled “Secretaries use Linux, taxpayers save millions” The odd part is how many of the same things written in the article could/should be said of medicine: ‘…The real strangeness is not that these guys have managed to build such a wonderful, cost-effective system, but that so few others have done the same thing. Everything in the Largo IT ecosystem is off-the-shelf standard goods, from hardware to software to the wires that hook everything together. The innovation here comes in making maximum use of everything, and not necessarily in obvious ways — and in coming up with solutions that are as much social engineering as technical, like the “cybercafe” in the Largo City Hall’s employee break room…’