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The late, great management guru W. Edwards Deming once said, ”It is not necessary to change. Survival is not mandatory.” I couldn’t help but think of this quote when I read last week that newspaper sales plummeted another 3% last year and that e-mail usage among teenagers was down more 8 percent.

The lesson for med-blog.com as well as for businesses (and individuals) who rely heavily on email is that they had better change or they could be out of business a lot sooner than they expect.