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Privacy and Consent
Internet telemedicine is plagued by concern for patients whose physicians prescribe medication without a face-to-face examination. Consequently, state boards of medical examiners and state legislatures throughout the country have initiated disciplinary hearings and legislation to limit a physician's ability to practice medicine without prior hands-on contact with a patient.
Emerging technology and medical advancements may be stifled by problems unique to Internet telemedicine. For instance, the next generation of pacemakers enables a doctor to audit and adjust the parameters of a pacemaker via the Internet. These devices face technological hurdles, such as communication privacy and device security. In addition, most states require pacemaker prescriptions for changes in pacemakers. Limiting Internet prescriptions, as is currently proposed in most states, would hobble or minimize the deployment of Internet adjust-able pacemakers.
Attorneys general throughout the United States are requesting legislation that would require people to have 'face-to-face' examinations by a licensed medical practitioner before ordering prescription drugs over the Internet. These requests are based on the perceived need to close loopholes in the state law dealing with Internet pharmacies.
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