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telemedicine has enabled the four maternal fetal medicine physicians at the University to be available and accessible to the rest of the health care providers in the state. Reimbursement for telemedicine services first became available in the US in 1999 [2] and by 2004, 34 out of the 50 states were receiving reimbursement for telemedicine services. legal issues to date have not been a problem with our telemedicine service. The challenge for the future in telemedicine is that although this technology appears promising and allows access to populations in rural areas, studies validating that telemedicine is at least equivalent to on-site (face to face) treatment are still lacking. A number of investigations are underway at our University to evaluate telemedicine vs. onsite patient care.

Answer to: Letter to the Editor titled is telemedicine a worldwide trend?