Forwarding E-mail

When I think of E-mailing and the issues faced with forwarding e-mails I always think about patient and client confidentiality. I grew up surrounded by patient and client confidentiality, because of the medical and science fields that I have been surrounded with. I take confidentiality very seriously and I know that as e-mail has grown as a means of common communication very strict rules have been implemented to deal with confidentiality issues. If I, as a professional, was sent an e-mail with privileged information I would take the time to delete the sensitive data or re-write the information omitting what was inappropriate. Even if the e-mail was sent to my boss; they may not or do not need to know everything that was contained within especially in such an unsecured arena as cyber space. I also know that in most of the fields that I would work in or expect to work in, the IT person is not doing a very good job with managing the internet access if while hitting "reply" you automatically respond to all. If something did get "reply to all" that shouldn't have in the medical field I could expect to be fired. If it had to do with negative comments on another employee I would expect to have severe disciplinary actions taken. The internet is not something to gossip over or share personal information; it has too many uncontrollable variables. I don't think the people who grew up not immersed in the technology really understand what all can happen when something goes wrong with the internet. I do also understand that being fired or disciplinary actions taken is a worst case scenario but I also understand that if the e-mail dealt with how to tell Patient A that you have to turn in a positive AIDS report to the state the state, the hospital, everyone in your department, and you could be sued. So I don't see a point in not considering the worst case scenario, I think better safe than sorry when it comes to my job and my livelihood.