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Wow, this is so insightful - you answered my question about how rural Africa they could afford to use tech tools in a way that is more effective than paper = and I see how it's also a blended model. It's amazing what we are able to do with phones in healthcare! I read about these iphone tools you can use for opthalmologist exams https://d-eyecare.com/en_US/product#features or even use an unmodified iphone as opthalmoscope https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6611294/

Another thing that comes to mind is healthcare in rural US populations, there are a lot of laws preventing telemedicine visits and reimbursements, so providers/patients are forced to come in. Some of that has changed with the pandemic, but a lot hasn't.

I also think about how in Oregon, the chiropractic license includes minor surgery because there simply aren't enough medical providers out there to serve rural areas.

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That is such an interesting anecdote from Oregon! In another session at this same forum, we talked about how measuring blood pressure used to be reserved for physicians and above. So some element of training and shifting tasks is important. But then, you do want people to feel supported, and for those providing the care, that their lives are getting better too, not just harder.

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