I have a friend who lives in New York City. For the sake of protecting the innocent, let’s call him Sam. What follows is his experience during a recent appointment with his urologist for a post-surgery check-up as well as some pertinent observations.

Sam uses a big group practice affiliated with a large teaching hospital in Manhattan. He’s more technically savvy than most, so the idea of working through a portal to make an appointment or check on test results doesn’t faze him. He even uses the HIPAA-compliant messaging system to ask questions of the doctors in the practice. He finds it amusing that an emailed notice of a bill sitting somewhere on the portal shows up a day or two after the same bill in paper form shows up in the snail mail.

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