Three Wishes for the Telehealth Genie
According to folklore, extraordinary beings resent being confined within ordinary spaces. In “The Fisherman and the Jinni,” one of the stories Sheherazade tells her misguided husband in “One Thousand and One Nights,” the being in question is so angry at being imprisoned for centuries in a bottle that he has to be tricked into granting wishes rather than killing his lowly liberator outright. In Disney’s “Aladdin,” the genie isn’t so vengeful but still describes his confinement as “phenomenal cosmic powers” uncomfortably crammed into an “itty bitty living space.”
The real world isn’t teeming with mystic flasks or misty sorcerers. But to the people who first told fairy tales around campfires, our modern abilities to tame the elements, construct labor-saving devices, cure diseases, and fly through air and space would look an awful lot like sorcery. And, truth be told, our real world is teeming with would-be heroes trying desperately to bottle up disruptive discoveries and technologies.
Take artificial intelligence. Might it displace workers, deform journalism, debase literature, and place destructive new weapons in the hands of diabolical foes? Yes. Caution is warranted. It cannot, however, be un-invented, permanently stunted, or monopolized by a few self-appointed guardians. To believe otherwise is, indeed, to remain in a fantasy world. As a practical matter, we have no choice but to develop and use AI, as prudently and productively as we can, so as to maximize its benefits and minimize its risks.
I feel the same way about a less “gee-whiz” innovation that nevertheless presents promise as well as some peril: telehealth.
Although the digital technologies and practice models behind telehealth services predate the COVID-19 pandemic, it catalyzed a dramatic expansion. Patients needed help. Hospitals were, by necessity, limiting exposure. Physicians, therapists, and other providers were, too. So, barriers to telehealth fell. Only some were reinstated after the crisis.
Over the past five years, this innovation has proven itself to be cost-beneficial. “Telehealth is not a silver bullet,” wrote Josh Archambault and Joshua Reynolds, coauthors of a new report on the subject, “but it remains one of the most efficient and cost-effective ways to expand access to care, particularly in underserved rural communities.”
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