The impact of new technology on public-sector service delivery and citizens' attitudes about government has long been debated by political observers. This article assesses the consequences of egovernment for service delivery, democratic responsiveness, and public attitudes over the last three years. Research examines the content of e-government to investigate whether it is taking advantage of the interactive features of the World Wide Web to improve service delivery, democratic responsiveness, and public outreach. In addition, a national public opinion survey examines the ability of e-government to influence citizens' views about government and their confidence in the effectiveness of service delivery. Using both Web site content as well as public assessments, I argue that, in some respects, the e-government revolution has fallen short of its potential to transform service delivery and public trust in government. It does, however, have the possibility of enhancing democratic responsiveness and boosting beliefs that government is effective.

Past individual-level studies of economic voting (1) have incorrectly operationalized the model they employ by using past-oriented rather than future-oriented questions and (2) have failed to examine the level of economic voting in United States Senate elections. Using the 1978 National Election Study, we show that economic voting exists in Senate but not House elections, presumably due to the differences in electoral context. Even when economic voting occurs, however, there is no guarantee that the public will influence the direction of macroeconomic policy.

We examine public attitudes toward vulnerability and evacuation in hurricane natural disasters. Using the results of an opinion survey in a coastal, New England state, we find important differences in how men and women, and Whites and minorities perceive natural disasters. Race, gender, and geographic proximity to the coast affect how vulnerable people believe their residence is to a major hurricane, while government officials and media reporting telling people to evacuate influence evacuation decisions. In order to avoid future breakdowns, governments need to understand the different information processing approaches of various groups of people.

Despite the growing use of online resources, it is unclear how many Americans are using the World Wide Web for different health-related purposes and whether factors promoting use of the Internet in health care correspond with those affecting more traditional in-person and telemedicine encounters. This research uses a national public opinion survey to examine the degree to which health care consumers communicate through conventional, face-to-face consultation, telemedicine, or digital technology, and the relationship between these means of communication and respondent characteristics. Results indicate that few people are using digital technology to get information, communicate with health personnel, or make online medical purchases. Furthermore, less well educated, lower-income individuals living in rural areas tend to use the health care Internet less than others. Several policy measures need to be undertaken in order to accelerate the appropriate use of digital technology by health care consumers of all kinds. These include improving education and technological literacy and providing access to low-cost digital technology. Without a consumer complement to prevailing efforts to spur health information technology development and implementation on the part of providers, the promise of the digital revolution will continue to be limited to certain better-connected segments of the population.