NEJM Catalyst Insights Council members identify many difficulties facing older patients, exacerbated by the Covid-19 pandemic. NEJM Catalyst Insights Council members identify many difficulties facing older patients, exacerbated by the Covid-19 pandemic. Insufficient care coordination, lack of social support networks, and inadequate access to behavioral health are longstanding challenges for older patients. In the wake of Covid-19, telemedicine can be a partial solution.