According to Pal, nearly 40% of American patients say they used E-mail to communicate with a doctor in the past．

　　He notes, however, that although patients have such interests, only up to 2% of doctors in the United States offer E-mail service．

　　Using E-mail, doctors can make sure of their advice and post patient information materials and other resources on the Internet．It’s said that more than 10,000 health-oriented websites（） already exist now．

　　However, some people worry that widespread use of medical E-mail might set up two kinds of care---one for Internet “haves” and the other for the “have-nots”．

　　But Pal points out that “by the year 2003 nearly every library will offer Internet and E-mail services in the United States”．That allows even low-income patients to use such means．Pal also talks about other possible barriers to the acceptance of medical E-mail．

　　“Doctors may be unwilling to offer E-mail services for fear of increasing workload（） and uncertainty about payment（） for the time they spent,” he explained, “and patients may worry that their medical information might be read by others．” “But these problems can all be solved,” he added．

　　“E-mail may help us a lot in health care,” Pal concludes．“Patients want to know more than they can get in normal clinics,” he points out, “and they might find communication on the information superhighway（） less fearful than face-to-face dialogue with their doctors．”

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