Full-motion interactive video requires advanced fiber optic phone lines many rural communities still don't have. The Internet may solve part of this problem. But we're starting to see systems stand on their own merit. In rural areas, they need enough patients to make it pay. Retirement areas on large lakes are a good place.
Schools have density, and they're the best place to treat children.
There are no radiologists in our area. We used to have a courier service drive films 50 miles to Shawnee. Radiologists would fax back their reports in five to seven days. That's where your tax base comes from. When retired people have to move to metro centers for health care, you lose that tax base.