For more than a decade, the telemedicine industry has been around, but it is slipping into the mainstream as laws are gradually changing to support its acceptance. According to a recent report, the market is expected to hit $130 billion by 2025, as more insurance plans begin to cover the cost of virtual visits. Start-ups in telemedicine can either hire a lot of physicians with one or two permits or maintain a smaller team of people who can work in many countries. Multi-state licensing of physicians is extremely beneficial for patients, said Zachariah Reitano, CEO of Ro, an online pharmacy and telemedicine company that prescribes medication for erectile dysfunction and hair loss therapies. This helps a physician to treat patients in shortages of treatment and to expand access to care where there are not enough services available. There are some workarounds to approximately two-dozen licenses, such as the Interstate Medical Licensure Compact, but they are not accessible to everyone and there are many exceptions. A cottage industry has emerged from companies and consultants specializing in assisting doctors with licensing and credentialing to accelerate the process. By licensing telemedicine, one can have access to so many more people said Sajad Zalzala is one of the few doctors with 50 licenses.