This reflection is derived from a research project in the area of tele-medicine and its relationship with social responsibility and ethics to support civil and criminal responsibility of doctors in their practice. To do this, we researched scientific literature and interviewed experts from the Cardiovascular Foundation of Colombia. As a result, it can be said that in face of simple laws defining tele-medicine; bioethics, deontology, social responsibility and moral principles comply with the Hippocratic Oath, knowed as of primum non nocere, "above all do no harm", that is, to do good in society while guiding doctors to principles of what should be. Regarding given scattered and unspecific rules governing the provision of tele-medicine, moral and ethical conscience of the doctors avoids the dehumanization of medicine and inequality in access to health services.