[Correspondence] Nationwide implementation of AI-assisted telemedicine in El Salvador

In November 2025, the government of El Salvador launched a comprehensive national telemedicine initiative aimed at improving access, provider competency, and health outcomes. To that end, the government entered a strategic alliance with Google LLC to integrate a suite of Gemini LLMs to assist in the diagnosis and treatment of non-emergency conditions in primary care. While similar initiatives are becoming increasingly common worldwide, they are still rare in low- and middle-income countries, hindered by infrastructure barriers, linguistic and cultural divides, and data governance issues.