Stroke is the nation’s number three killer and a leading cause of adult long-term disability. According to the American Stroke Association, about 795,000 people suffer a new or recurrent stroke each year, with 137,000 not surviving. It is therefore vital that policymakers take an active role to address the improvements of stroke care. This includes supporting primary stroke center implementation in both urban and rural communities; access to comprehensive stroke centers, the endorsement of telestroke as an emerging technology, and proper reimbursement for advanced technological services and on-call visits and consultations.