Both Europe and the United States are actively regulating the practice of Internet medicine. Evidence of the extent of such regulation may be found in the California Telehealth Advancement Act. This legislation made it easier for health-care providers to use the Internet in the treatment of patients, especially in underserved areas of the state; in HIPAA’s Health Information Technology for Economic and Clinical Health Act; and in the enactment by the European Parliament of various privacy directives, which regulate the processing and use of the Internet for health-care transactions. These and a myriad of other statutes must be integrated to facilitate the lawful use of the Internet to support trans-Atlantic clinical health care, patient and professional health-related education, public health and health administration transactions.

Technological developments such as videoconferencing, the Internet, store-and-forward imaging, streaming media and terrestrial and wireless communications have caused rapid changes in how electronic transmission of patient information — i.e., telemedicine — is conducted. So, too, have legal developments in America and Europe.

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