The actual implementation? The dream team could have figured that out, too, maybe working with a company such as Athenahealth ( ATHN), or Cerner ( CERN), some company with a superb background in medical records. This was a moment for American companies to shine, and instead it's been about a Canadian company struggling to make things right. Sadly and shamefully, I think the moment has now passed, a victim of inept execution and a failure of imagination -- the imagination required to realize that the customer is always right and the relationship had needed to be managed in the cheapest, best and most efficient way possible. That is exactly what these U.S.-based companies can do better than any other enterprises in the world. At the time of publication, Action Alerts PLUS, which Cramer co-manages as a charitable trust, was long AAPL .