### Real Out-of-Pocket Costs for Diabetes Care Barbara Rosebrock's experience highlights the changing landscape of healthcare costs, especially for diabetes care. In March 2020, her daughter's doctor canceled an in-person appointment due to the pandemic and suggested a remote video visit instead. Initially skeptical, Rosebrock found that telemedicine saved her time and money. This shift to telemedicine became common during the pandemic, with remote visits skyrocketing among Medicare patients. Telemedicine offers clear out-of-pocket savings for patients. For instance, a study in California found that patients saved on average $11 in transportation costs per visit. Additionally, telemedicine can avoid extra facility fees and unnecessary tests often ordered during in-person visits. For patients in rural areas, telemedicine can save thousands in emergency transport costs. However, the long-term cost-effectiveness of telemedicine is still debated. While it can reduce short-term costs, increased accessibility may lead to more frequent visits, potentially raising overall healthcare spending. Some studies suggest that telemedicine might increase antibiotic prescriptions and follow-up visits, adding to the costs. Despite these concerns, telemedicine has proven invaluable for many, especially those with chronic conditions like diabetes. It offers convenience and continuity of care, which can prevent complications and improve quality of life. Policymakers are still evaluating how to integrate telemedicine into the healthcare system sustainably, balancing cost and accessibility. For some, like Francis Richard, telemedicine provided priceless support and extended his life. His wife Marie emphasized the emotional and practical benefits of telemedicine, which made a significant difference in their lives.