The recent passage of health reform legislation has brought with it the promise of unprecedented change in the delivery of care in our country. According to a recent PEW report, once online people can tap into an ever-widening pool of information including blogs, podcasts, doctor-rating sites and social network sites. The internet does not replace health professionals, but provides a way for people to gather and share information in a rapid-learning system that can best be described as "participatory medicine."