Telemedicine has been a big help for rural patients who would otherwise have to travel long distances to see a doctor in person. Now, urban residents are getting into the act as both medical professionals and patients seek to cut down on COVID-19 risks. The Indian Health Service announced a telehealth expansion in April, and President Trump signed an executive order this month increasing telehealth services for some parts of the country. Still a lot of barriers remain as patients and doctors adjust to new technology and tribal areas contend with a lack of connectivity.