It’s not the first, but it’s generated a fairly big announcement:

A company called American Well has introduced virtual visits directly to consumers in Massachusetts. [They’ve already been doing it in 43 states and the District of Columbia.]

A hand with a stethoscope to give an examThe company has been partnering with insurance companies to provide internet-enabled visits to select populations. But now going direct to the public in the state with the highest number of doctors per capita has increased their visibility.

For the introductory price of twenty bucks (visits usually are forty-nine per), you can sign up and have a vetted medical professional (one that you select from a roster based on background, specialty, and availability) diagnose and even treat you for your problem.

Treatments include e-prescribing of antibiotics or other medications, in addition to advice. Potentially addictive controlled substance pain medications (Vicodin, Lortab, et al.) are not permitted.

Depending on your viewpoint, this is another step forward in technology enabling consumer-driven and consumer-friendly health care. Or it’s another insult to the primacy of the doctor (aka “provider”)-patient relationship and the “Medical Home” model.

Would you confer with a doc online, if you could see her and talk to her “live?”