The more help we get providing medical care the better. There is also an increasing acceptance of NPs and PAs as primary care providers nowadays. For example, the online service www.housedoc.us, which provides for free and HIPAA compliant email communications between doctors and their patients recently added NPs and PAs to their list of medical providers with which patients can communicate online, similarly to doctors. The ability to communicate easily and efficiently is an important resourse in improving relations and acceptance by patients, while providing better medical care than is now available in many parts of the country.