This document discusses the current state and future directions of telemedicine. It defines telemedicine as what it does rather than who provides it or where. It lists different telemedicine technologies and applications such as rural healthcare, education, and home monitoring. The document argues that telemedicine needs to bring the examination room and office to patients through remote monitoring and continuous assessment. It also stresses encouraging patients to take a more active role in their own care. The conclusion notes that resistance to change is a powerful obstacle but that telemedicine will continue advancing to improve access to healthcare.