I'm an ear surgeon working with partners around the world on new pathways for hearing loss prevention. This solution comes from my collaboration with a tribal health organization called the Norton Sound Health Corporation. Hearing loss evaluation traditionally requires testing by an audiologist in a soundproof room, with a lot of permanent equipment. An ear surgeon then examines Anuk's ears under a microscope and decides a treatment plan. These resources simply aren't available in remote settings. In a state where 75 percent of communities aren't connected to a hospital by road, an expensive flight is required. To overcome these barriers, Alaska has developed a state-of-the-art telemedicine system that connects over 250 village health clinics with specialists who triage all types of health concerns. My colleagues have validated that ear-related telemedicine consults are equivalent to an in-person exam. In 2016, travel was prevented for 91 percent of patients receiving specialty telemedicine in the Norton Sound region. Telemedicine has saved over 18 million in travel costs in this single region over the past 15 years.