Telehomecare research has been going on for many years now, but few significant products have made it to market. Researchers, both outside of and within the companies that would productize telehomecare solutions, may not fully understand the challenges of moving technologies from the lab to the store shelf. In this chapter, I examine some of these challenges, including the relative costs of research vs. productization, how that difference affects the separate attitudes and expectations of researchers and product managers, and what the opportunities are for innovation in this area in today's technology landscape.