i expect health IT business will get better in the US. Over the years, changes in government requirements have most often benefitted health IT, especially for revenue cycle applications. However, those business improvements will not add value in the patients' view. I do not expect the current US administration to meaningfully address the discrepancies between cost and care outcomes, and business incentives to do so will be minimal.
It is an open-ended question. My assumptions are that spending will be slow until there is more certainty around the ACA. This will provide time for I.S. organizations to improve internal performance and address areas where no investment or smaller investments are required. The latter is where enterprising vendors will have opportunities to work with customers to define proof of concept or focused implementations with a focus on return on investment (ROI). I would direct more of my sales and marketing budget in that direction. This is not to say that there will not be more demand on I.S. organization capacity than supply of financial and human resources, but I do believe this is a great opportunity for "Spring Cleaning."