Through work funded by the California Health Care Foundation, we helped develop the Video Visit Booth (VVB), a low cost, highly convenient telemedicine based alternative for patients considering a visit to the emergency room, urgent car facility of physician office for an acute problem. The goal is to deliver equal quality care at 50% lower cost/encounter for a significant subset of possible issues. We are currently working with a number of global partners to consider a variety of business uses for such a booth, including in retail medicine, as part of workplace based health offerings, and as a radically lower cost option for the uninsured.