We will present the 3 most prevalent models for healthcare delivery to underserved communities in rural areas. Countries like India have state-sponsored programs that provide free healthcare to people Below the Poverty Line (BPL). In another model, non-profits, aided by foundation grants, provide higher quality healthcare at subsidized rates to patients. The third model is a for-profit model where organizations provide higher quality healthcare at low cost and low profit margins (e.g. rural telemedicine). We will then open to a group conversation about the risks and opportunities of these models. Telemedicine is a relatively new trend, facilitated in part by advances in ICTs. Does it have promise for long-term sustainability?