I just looked this company up. $199? That's a joke. Amazon will run them out of business with a $9.99 monthly special very soon.
And you know what's sad?
There are apparently plenty of doctors (not just midlevels) out there so desperate for work they will gladly work for Amazon and feel fortunate to make their 50k income
Here's what these internet telemed companies don't understand -- on the internet, there's always somebody cheaper than you are and it's impossible to build a trusted relationship. It's strictly transactional. The ONLY thing that matters is how cheap you are. When you can't build a relationship, you are easily dispensable.
In a brick and mortar clinic, I build relationships. People want to see ME, not some random face on a computer. The ONLY reason they choose telemed sometimes is because it's 2 AM and I'm closed. Period. I've actually studied this too. A couple of years ago I ran a system report to show me how many telemed visits were done while I was open during office hours. On a panel with approx 10,000 patients and average 20 patient encounters per day, only 3 patients in the last 12 months consulted telemedicine when they had me as an option instead.
Doctors don't understand their own power. If you build a strong relationship with a patient base, they will choose you over a random internet person every time.
The county health department is down the street from my clinic and has a peds clinic. You can walk in there with your child and be seen by an NP or PA at ZERO cost. It's all funded by the state.
Yet curiously, I have several hundred patients with no insurance who choose to pay me $100 out of pocket for a visit and never go to the health department despite the fact that I'm a lot more expensive.