In the years following the pandemic's forced experiment with remote medicine, researchers at Children's Hospital of Philadelphia have traced what endured: telemedicine found a quiet but durable foothold in pediatric primary care, particularly for children managing chronic conditions of the mind and body. A study of nearly 20 million visits across more than a thousand practices reveals that the technology, once a crisis measure, has become a modest but meaningful expansion of what care can reach and whom it can serve. The deeper question now is not whether telemedicine works, but whether the in