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I think the main thing is that
is a much bigger deal than it seems. There's just so many little things that you gain from a physical examination that would be lost through the cracks otherwise. Lots of people get major diagnoses from routine lymph node checks or abdominal palpitations. Or the patient stands up to leave, winces, the doctor goes "You okay?" and the patient suddenly remembers "Oh yeah, my dog knocked me over and my leg has been hurting for three weeks and it pops when I put weight on it".
We're physical beings, and taking care of our physical forms requires physical care, not a digital approximation of it. I definitely agree telemedicine has a place especially in the spots you identified, but they can't replace a yearly physical exam without degradation of care.