The key component of a successful and cost-effective shipboard wellness program is not primarily the technology – it is the implementation and maintenance of a scheduled review with an experienced physician. The consultation need not necessarily be (remotely) face-to-face. The ship’s medical officer or the mariner himself can take the vital signs and transmit the readings, accompanied by a subjective assessment of health, to the physician for review. In a program of shipboard wellness such as that offered by Future Care, the reviewing physician will have to hand the PEME data, medical records, prior readings, and related data needed to provide a comprehensive analysis.