This document discusses the state of healthcare in Alabama and how telehealth is transforming its delivery. It outlines that Alabama faces serious health issues, such as high rates of cancer, heart disease, and obesity. The top 13 health concerns in Alabama are identified as access to care, mental health, poor pregnancy outcomes, nutrition, and others. Data is presented showing a lack of primary care physicians, especially in rural counties, as well as counties with fewer households having vehicles. Maps depict the loss of rural obstetric services since 1980. Major challenges to telehealth in Alabama are identified as inadequate reimbursement, lack of broadband access, lack of understanding about telehealth, and perceptions it is too expensive.