Ok I sussed it! Doh, for anyone who doesn't know just click on contact at the top panel Hey, forgive me, I'm still gettting used to this whole mac thing! lol
I believe that the latest version of MSN for Mac does not support video chat, however aMSN does apparently. aMSN lets you talk to people over normal MSN so yeah should not be a problem, it should also let you do voice and video chat
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