The cost of healthcare has increased to where most people cannot afford quality healthcare. We are experiencing more negative health outcomes, and more diagnoses are evolving.There is a supply and demand shortage. The U.S. will experience a shortage of between 54000-139,000 physicians by 2033. The care for those in need has improved and can be given virtually, at home, and ambulatory. And bout 20 million Americans have gained health insurance coverage since the Affordable Care ACT was enacted.