This represents an improvement from the previous standard in accounting for access to care for patients from rural and remote areas. It continues to present virtual care as substandard care when it may not be. There are many situations that make care inaccessible to patients in person even in urban areas including physical disability, poverty (lack of access to transport or inability to leave work obligations), and psychiatric disability (such as agoraphobia and PTSD). We should allow patients to make an informed choice to seek virtual care over in person by explaining the limitations of virtual care. In addition, we should consider the possibility that some factors, such as disability and caregiving responsibilities, which make it difficult for patients to seek in person care, make it difficult for physicians to provide in-person care. Those physicians may also have a valuable contribution to care provision in this province.