Do science and medicine under-utilize technology?

It seems under-utilization of technology is a common topic these days in science and medicine (e.g. Nature 438:531 and NEJM 348:2526). For a field that spends SO much on its own technology, and that has so many smart people, why is the everyday stuff so backwards? I think this could be an interesting discussion point. Here are just a couple of examples.

Internet: Science tends not to use blogs, wikis, online discussion forums, or even mailing lists and online publication to the fullest. For example, my labmates that graduate next week were still required to provide print copies of their thesis for binding, the theses are being copied to microfiche, and there was no method to include videos or digital-quality images (in the end, one of the individuals included a CD in the printed thesis, enclosed in a binder-type slip case). Even search engines (e.g. PubMed), one of the most common uses of the internet in biomedicine, doesn't fully take advantage of the internet, having only recently added any cross-referencing between websites, and still limiting searches to a few fields rather than linking to other databases (e.g. allowing searches by title, author, and journal citation index).

Communication: Even internet communication seems to catch on slowly, as many older professors are hesitant to use email while my grandparents, and those of many of my friends and family, love using it. Beyond email, how many doctors have Blackberry PDA's or smartphones (pagers are still the standard!)? How many use internet chat to communicate within their laboratory or institution?

Data Management: Excel still seems the standard, if not state of the art. Even clinical management software is ages behind, often looking like an old Telnet interface, or a really lousy GUI. Nothing begins to approach the ease and accessibility of modern games and word processors, and certainly only the most advanced systems use decent implementations of SQL, XML, etc.

I hope those commenting on this post will cite other examples, as there's no shortage.