The PLU Problem: are we designing personal ehealth for people like us?

The near-pervasive introduction of ehealth systems, and the more recent implementation of systems intended for patient use offer patients the opportunity to participate in their own care. Unfortunately the design of these systems means that they may work better for "People Like Us" rather than for those on the wrong side of the ‘digital divide’. This paper looks at the professional, practical and ethical implications of this conundrum.