Introduction
Telemedicine went from a niche service to a central part of health care in just a few years. During the COVID-19 pandemic, governments and insurers rapidly relaxed long-standing rules on video visits, telephone care, and remote prescribing. Suddenly, millions of patients could see a clinician without traveling, arranging childcare, taking unpaid time off work, or sitting in a waiting room.
Now the emergency phase is over, but telemedicine is not. A major new 2026 position paper from the American College of Physicians (ACP), “Telemedicine Policy and Practice,” argues that virtual care should remain part of mainstream medicine—if it is used thoughtfully and supported by smart policy. That is a big “if.” The same tools that make care easier can also create new problems: fragmented care, missed diagnoses, unequal access for people without broadband or private space, and confusion over payment, licensure, and prescribing.


