Not exactly "government" per se, but I'm strongly considering trying to switch Urologists (I'm getting yearly check-ups for Kindney stones) simply because they send me my ultra-sound and check-up appointments by LETTER and have no option for email communications or website coordinated appointments. When I lost my last letter in the pile of toddler crap that is my house, I had to call them and spend 20mins on hold to confirm my appointment time. I'm very happy with the service (this particular Urologist is widely considered to be the best in the Province), but I feel like I would be doing some kind of civic duty by leaving and saying "it's because you refuse to adopt modern technology", but in reality they'd probably be happy to have one less patient to deal with.