Telemedicine abortions are proven to be safe and effective, and the overwhelming majority of women who accessed the service preferred it. There is still discussion with a healthcare professional, and should that professional feel that the woman needs closer monitoring and supervision in person, then that is still the case. But there is still monitoring and supervision.
What it removes is the decades old requirement for a woman to require the permission of two doctors to have an abortion. And the decades old requirement for abortions to take place on licensed premises. These requirements were put into place to redress the problem of ‘backstreet abortions’, which was one of the largest causes of mortality in females of child bearing age. Obviously developments in medicine have rendered these requirements largely redundant.
Telemedicine abortions have also been proven to facilitate earlier abortions, which are proven to be safer for women. Telemedicine abortions have made it easier for women who were previously buying abortion pills illegally online, perhaps due to an inability to visit their doctor due to fear of domestic violence from their partner, to access safe and regulated abortions from home. These women then have access to counselling and safeguarding services, making it even safer for women.
Even without the obvious safety benefits, telemedicine abortions are incredibly cost effective, and are cheaper than the traditional model.
I have no idea what your actual concerns are, but thought maybe some clear information might be helpful.