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What health care services will middle-income families have access to shortly into the next century?

When you wake up in the morning, go to the bathroom, where a urine sample analysis can be completed and the information sent to the doctor's office.

Then stand on the scale. It will tell you the proportion of fat in your body, tell you how much weight you have gained or lost, and remind you of your doctor's instructions to pay attention to your diet. It can also ask you if you'd like to review the recipe. A printer in the kitchen will print out a recipe for you to choose from, based on leftover food in the refrigerator and fresh food in the pantry. The computer is connected to the store and any food that is running out can be ordered and delivered to your door in the afternoon.

If you are still in the bathroom, you can click on the display to direct you to take your thyroid dose. It can also remind you that it's time to buy medicine and that you have a doctor's appointment this afternoon.

In the afternoon, you contact the doctor's office via your desktop computer, and the doctor consults you face-to-face via computer. The doctor has access to your entire medical history on another screen, so you can talk about your treatment, your progress with your doctor's prescribed diet and exercise regimen, and any other concerns you have.

You tell your doctor that you feel discomfort in your throat. After you describe your symptoms, the doctor schedules an appointment with the nurse in your building for an hour later. During this hour, the doctor will review your medical records, access the medical records of other patients with similar medical conditions, and browse the latest research results on the computer.

An hour later, you come to the nurse station as scheduled. After the nurse gets in touch with the doctor through the computer, she puts a digital stethoscope on your chest, and the doctor uses the stethoscope to auscultate on his terminal. Doctors can also obtain other physiological indicators. Then the nurse picks up a small video camera and puts it into your mouth so the doctor can see down your throat.

It’s not a big problem, just a little bit inflamed. The doctor emails the prescription to the pharmacy, and the medicine is delivered to your home along with the groceries you ordered in the morning.

You return to your desk and write down your work diary. Your computer shows that you spent 45 minutes on one of your two doctor visits today, and sends that information to the HR department's computer.