According to a study by IHS Technology and published in January, the almost 350,000 telehealth patients in 2013 will swell to7,000,000 by 2018. There is no escaping the many factors that influence the current numbers and their future trends: Rising health costs, an aging population, a shortage of qualified medical personnel including physicians of all stripes, a push from organizations from the VA to serve all its members, and the push from implementing the Affordable Care Act (Obamacare) to cover and treat more patients at lower cost. Lastly, within the last decade, technology finally caught up to the requirements, and within the last several years, due to the deep societal penetration of the smartphone and the tablet, resistance to trying these technologies has reduced.