The pandemic forced health care systems around the world to offer virtual visits. We, The Intraped network, are looking in to the speed of the changes and we can conclude that not all changed overnighjt as one might think, it was rather a gradiant change most probably coupled with other social as well as financial factors. The Intraped network has explored the differencies in health care system structures and also readiness to offer virtual visits, and the key factors to keep a higher level after the pandemic. Ten countries, 3 European, 4 Asian, 1 SOuthamerican, the USA and Canada are in cluded in the comparison.