The document discusses challenges and opportunities for implementing Voice over IP (VoIP) architectures in modern cloud and container infrastructures. It notes that while infrastructures have evolved significantly since VoIP's inception, protocols like SIP were designed before current platforms. This creates issues around ephemeral resources, network addressing, lack of native VoIP components, debugging difficulties, and vendor lock-in. However, new protocols and standards could help VoIP leverage modern infrastructures better. The future may involve standards for "VoIP elastic load balancers" and improved support for real-time communications in platforms.