Neither doctor makes a claim about whether specialists give better advice than rural physicians. Even Dr. Jones only discusses specialists as an additional source of advice, not necessarily a better source. Dr. Carabella just doesn’t mention specialists.

Neither doctor expresses an opinion about telemedicine being limited to rural healthcare settings. For one, Dr. Jones makes a limited argument about the benefits of telemedicine for rural patients, but doesn’t discount the possibility of urban telemedicine as well.

Neither doctor directly talks about how likely telemedicine is to be widely adopted anywhere over any length of time. Their discussion is focused on the predicted effects of telemedicine, not its future popularity.

Neither doctor talks about patients who most need specialists’ advice. Dr. Jones discusses rural patients in general, and Dr. Carabella throws an even wider net when talking about both rural and urban patients. Neither goes into this specific of a category.

Dr. Jones thinks that telemedicine will benefit rural patients by improving access to specialists, while Dr. Carabella thinks that telemedicine will ultimately harm rural patients through a general decline in the quality of care. This is the point of disagreement.