Every e-mail client I've used in recent times doesn't load images by default. I generally assume that I am being tracked if I choose to load the images.
I used to work in IT at a medical school and your characterization of HIPAA is not accurate. HIPAA is not strict at all unless you've intentionally divulged protected health information. Your employer is going to a lot worse things to you (i.e. fire you) than any federal prosecutor.
I feel your pain and I was also quite disappointed by this thread, though this reaction is not uncommon. I get similar, but less juvenile reactions in real life when I try to talk to people about anime. Illustrated books and animation have been pretty much exclusively been marketed to children in the US (as well as many other parts of the world) and lots of people can't get past that.
I started to watch anime because it happened to be on after Futurama during the Adult Swim block on Cartoon Network. I was impressed with what I saw in some series (Full Metal Alchemist and Paranoia Agent) and started seeking out more of it on my own. Some anime is as good or better than any independent cinema you can find. There's some really unique stuff and just a lot of really good and interesting storytelling. You can develop a lot more depth in ten hours of content than you can in two hours and some anime takes advantage of this fact.
Anime is shown during primetime on major television networks in Japan. Manga is read by just about everyone in Japan. Forty percent of the books published in Japan are manga. There are tons of educational manga like the one reviewed in this post. Given the wide viewership and readership in Japan, a considerable range of manga and anime are created.
Illustrated books and animation are just two other art forms. Most Americans can't get past their limited use in the US. Too bad for them.
I hope the irony of posting such a comment as an "Anonymous Coward" is not lost on you.
"Look! There! Evil!.. pure and simple, total evil from the Eighth Dimension!" -- Buckaroo Banzai