1. As a reviewer of an early draft of this report noted, issues other than technology, organizational uncertainty, and public policy will determine the degree to which the Internet finds application in the health sector. The Internet must be applied properly to create solutions that work in health applications before wide adoption can be expected. The Internet has been accepted by the public as a tool for gaining insight into illness and health issues because it delivers value. Clinicians use the World Wide Web for MEDLINE searches because they obtain some value from it. On the other hand, clinicians do not use the Internet to deliver care because valuable, usable, affordable, and practical Internet-based solutions have yet to be built. In other words, public policy is a very important factor in the acceptance of Internet technology in biomedicine and health care, but it may not be the first hurdle or the highest.break