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ABSTRACTMany people in developing countries are required to travel for several hours to see a doctor. The concept of so called telemedicine accompanied with developments in the field of wireless communications may improve the health care. Here presented telemedicine system is for a distance consultation. It is based on a pocket smartphone using its camera to develop a video broadcasting mission for a real-time consultation. However, developing countries in the Middle East and North Africa suffer network coverage in most areas. To overcome this issue, the system includes a software defined radio in order to integrate the small satellite technology in the telemedicine routine. The proposed pico-satellite constellation can provide an interesting solution for near real-time transmission, which will significantly improve the health care in remote areas.