Ideas and trends can be as contagious as viruses. Seemingly unrelated, small events can mount to epidemic proportions, and “the slightest push” in “just the right place” will change everything. This is what Malcolm Gladwell (2000) calls the Tipping Point, a unique moment “when everything can change all at once.” After decades of changes, health care is approaching this transforming moment— and we want to be among those who deliver the push in the right place, creating a new system, a “virtual health system,” that delivers the greatest good to the greatest number. We believe, as does Gladwell, that “In the end, Tipping Points are a reaffirmation.
