We just launched Mahara for IT4ALL: http://mahara.integrating-technology.org
You are invited to join and develop your professional/personal e-portfolio.

David,

Thank you for sharing your ideas on telemdedicine. While I agree that e-learning and good facilitation can benefit the public and cut costs for organizations, how are you going to educate the public on how to learn online. In fact, you would need massive well executed face-to-face campaigns by governments, health care organizations, and maybe community centres to educate the current public on computer literacy.

However, doctors are already taking advantage of telemedicine in saving lives by sharing and collaborating with other doctors around the world.

I would assume that these nations would be advance in the elearning but has I have seen they always promote outside the country and why is this.

In the 19th Century arithmetic was essential to learning higher mathematics. I guess that makes arithmetic lower mathematics.
The 20 Century changed all of that. Calculators and spreadsheets made arithmetic invisible. But in the 21st Century we treat arithmetic as if it still were the basis of higher mathematics. We drill students on number facts so the facile memory does well in arithmetic and the deep thinker is too often called math disabled. A very practical example is the individuals who even though they cannot make change can at least lead productive lives behind the automatic cash registers.

I am not proposing we do not teach computation, but we put arithmetic in its place as a lower level tool and not as the basis of all of mathematics. Ideally, expect the student to use approximation for general accuracy and to fall back on a calculator/computer when precision is essential.