In the ever-evolving landscape of healthcare, a new chapter is being written by the physicians and advanced practice providers at Bicycle Health, a telehealth company spearheading the treatment for opioid use disorder (OUD) across more than 30 states. Their recent move to unionize with the Union of American Physicians and Dentists (UAPD) underscores a growing concern within the telehealth sector: the need for equitable treatment, work conditions, and an amplified voice in organizational decisions that directly impact patient care.