In rural America, millions struggle with limited internet connectivity, hindering access to quality healthcare through telehealth. The disparity is stark, with 60 million+ people in rural areas facing subpar internet quality, leaving them without clear images during video calls and dropping connections. Telehealth has the potential to provide access to quality care, but technical issues like low bandwidth and poor audio quality prevent widespread adoption. To address this issue, healthcare providers can adopt new technologies that accommodate lower resolutions and bitrates, and integrate PSTN capabilities for phone-based access. By implementing specialized telehealth solutions with SDKs, providers can facilitate smooth and reliable conversations in rural areas, taking a patient-first approach to solve the problem of rural access to healthcare.