Despite a decade of tremendous advances in telemedicine, it still has potential far beyond current reality. New technologies are making the use of telemedicine ever more compelling and cost and payment barriers are being tackled so fewer barriers will impede the broad adoption of a now-proven cost-saving delivery of a variety of health care services. Adoption of telemedicine will accelerate with the aging of the Baby Boomer generation and globalization forces will broaden adoption and drive cost down.