It is important now to organize the payment facility. There is a different problem for each type of use. For instance, it is obvious that the user has to pay for a service of the type of a lifelong personal record. The show case of hadrontheraphy is very different. Here we have to exclude the patients who will not clearly profit from the treatment in a few, hightech centres.
Internet is a free form of access, the user is free to surf through the net.
But it is a social question not a technical one. We have to decide what we want. You have access to a large amount of information on the Web, among them you can download numerous pieces of software, but you cannot rely on these elements to build a real system. Indeed, what happens if you have a problem is that you do not have anybody to call, there is no support, no update and no maintenance. When providing a real product you have to support it and maintain it.