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Privacy and Consent
Internet telemedicine is plagued by concern for patients whose physicians prescribe medication without a face-to-face examination. Consequently, state boards of medical examiners and state legislatures throughout the country have initiated disciplinary hearings and legislation to limit a physician's ability to practice medicine without prior hands-on contact with a patient.
Emerging technology and medical advancements may be stifled by problems unique to Internet telemedicine. For instance, the next generation of pacemakers enables a doctor to audit and adjust the parameters of a pacemaker via the Internet. These devices face technological hurdles, such as communication privacy and device security. In addition, most states require pacemaker prescriptions for changes in pacemakers. Limiting Internet prescriptions, as is currently proposed in most states, would hobble or minimize the deployment of Internet adjust-able pacemakers.
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