Shrinking Budgets, Consolidation, and the incessant demand for more functionality, more services, more integration at lower cost is harming healthcare operations. Decision Makers are at a loss when faced with technical decisions that force them to spend money on cable plants, network switches, telco closet expansions to meet "today's standards", and more and more energy consumption. Sandia National LABS cut more than 1 Million Kilowatt hours and is predicting a savings of 20 Million Dollars over the next 5 years alone and they spent less money on upgrades than ever before.