KevinMD October 29, 2025
Ryan Nadelson, MD

The highway from western North Carolina to northeast Georgia is dark at five in the morning. One of my long-time patients grips the wheel and drives two hours for a 15-minute visit with the doctor she trusts. She could have met me by video from her kitchen, but the law forbids it. The moment she crosses that state line, I lose the right to care for her. That’s not medicine. That’s madness. We tell patients to use technology, to stay engaged, and to seek care early. Yet when they do, our laws turn that initiative into a liability. This isn’t a paperwork issue. It’s a national access crisis hiding behind outdated bureaucracy. Millions of Americans live near state borders or...

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Topics: Patient / Consumer, Physician, Provider, Technology, Telehealth
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