In a bunker-like former bank office near Tacoma' Hilltop neighborhood, 200 nurses, physicians and other health care staff spend their days treating scores of hospital patients they never meet using webcams, two-way speakers and other high-tech monitoring tools. This is the latest incarnation of the technology-aided Telemedicine movement hospitals and clinics nationally use to check out a rash or converse with a specialist via a smartphone or laptop.

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