The healthcare service in the USA is in dire need of automation to reduce healthcare costs. That said, we have seen a proliferation of on-line healthcare portals which can connect patients with doctors by phone and video plus legions of SMART Phone apps which claim to be able to do everything from checking your pulse to even performing an EKG. Unfortunately it’s not a unified approach and most of these systems don’t communicate with each other. This publication looks at the latest innovations in retail healthcare services and technology and how these may be used to reduce the number of people using hospital Emergency Rooms for primary healthcare. An estimated 25% of the over 100 million visitors to ER each year. New technology and services are on the horizon to enable people with minor conditions to be able to receive treatment 24x7 without checking into a hospital ER.