Ensuring the ethical acceptability of telemedicine requires avoiding one-size-fits-all solutions and protecting the patient-physician relationship, patient privacy, and patient-centered care.
The social-justice question we must pose to physicians is: Are you willing to advocate for changes to the medical system that creates the need for you to take on charity care in the first place?
If I am unwilling to pay more taxes so an 85-year-old stranger can have a left-ventricular assist device, then I am morally obligated to say the same holds true for a future version of me in those same circumstances.