KMOX, a station from St. Louis, recently asked what Ohio's OneCommunity did correctly in building a regional broadband network. The article is interesting for some background on OneCommunity, but the discussion of what St. Louis attempted is somewhat lacking (and the reporters appear to have little expertise in broadband).
OneCommunity is a successful nonprofit approach to expanding broadband access by working with various entities - sharing the resources of public entities as well as private carriers to the benefit of everyone. However, its results are somewhat less predictable than the admittedly more top-down approach of a local government-run initiative that can ensure everyone in a community gets a certain kind of connection. On the other hand, OneCommunity is more insulated from the fluctuations of everyday politics that can hurt or slow projects operated by a local government, depending on the structure (remember, structure is defined by rules ... and rules matter).
My impression is also that OneCommunity has been tremendously successful in securing broadband for middle mile and large institutional needs, but its approach at solving the last-mile problem has been hit-or-miss depending on the community. By lowering the cost of backhaul, the private sector may be more interested in building those last-mile connections, but residents do not get the full benefits of service from a provider that puts community needs above profits.
OneCommunity started in Cleveland with the idea of collecting spare or unused broadband capacity (often using assets after the dotcom bust) and putting it to use.
Along with a variety of other key community anchors, the network connects some 65 hospitals in all.
"We're allowing point of care treatment through remote specialists that actually allow, not only a triage of patients in the emergency room, but actually direct treatment and diagnosis on site in real time from a third-party specialist located in another institution."
OneCommunity's network is sufficiently large that these hospitals can connect directly to each other rather than each connecting to the larger Internet to send information amongst themselves. Just as in Lafayette, where all in-network connections occur at 100Mbps, OneCommunity can offer... Read more