More than ever before, innovations in healthcare technology are saving lives. A series of 2015 stories from around the nation highlight the importance of fast, affordable, reliable connectivity in using those technologies to serve patients in both urban and rural settings.

Broadband Speed and Medical Crises

The first story comes from Craig Settles, an expert on broadband access issues. In his line of work, Settles is constantly thinking about, talking about, and writing about the many virtues of broadband technology. But Settles explains that after recently suffering a stroke that required rapid medical attention, he gained a new perspective on the issue.

When someone suffers a stroke, they have three hours to get serious treatment or they often will not recover from its debilitating effects. I was lucky, but...while I worked through my recovery and rehab, a thought hit me: The process of my recovery would have been limited -- if not actually impossible -- had I been living in a small, rural or even urban low-income community without broadband.

Better Broadband, Better Medical Care in Rural West Virginia

The Charleston Gazette-Mail profiles the importance of broadband access at the St. George Medical Clinic in rural West Virginia. The clinic is wedged inside of a deep, wooded river valley, where geographic and topographic challenges interrupt access to reliable, high-speed broadband. In other words, the exact type of rural community Settles had in mind when he wrote about his frightening medical emergency.

But St. George Medical Clinic is different. With assistance from FCC funding, St. George recently laid a 12 miles of fiber optic line that delivers the hospital broadband access, essential to an increasing number of modern medical services. As the article explains:

Just this past week, we reported on the plight of Bradley County in Tennessee. Cut off from connectivity, families and businesses are considering leaving to nearby Hamilton County which has Chattanooga’s high-speed fiber network.

By a 12-1 vote, the Bradley County Commission urged the Tennessee legislature to pass a bill (Tennessee HB 1303/SB 1134) enabling public utilities to bring high-speed Internet to Bradley County residents. Current state law - right now embroiled in legal disputes - prohibits public utilities from expanding high-speed Internet access. 

Near-Unanimous Vote (12-1)

As reported in the Chattanoogan, the only naysayer to the resolution was the vice-chairman. He agreed that Charter and AT&T had failed to provide adequate Internet access to the county, but he expressed opposition to municipal networks. Although disagreeing with the resolution, he underscored how local control had disappeared with the current state law:

He said local governments at one time had leverage over providers when they had to come to them periodically for charters, but he said that control went away with the passage of the current law that he said was heavily lobbied.

The commissioners, however, felt that this vote was the only way forward. Some described how dependent their homes and businesses have become on Internet access, and others reiterated that the community suffered die to the lack of competition.

An Engaged Public Speaks Out

According to the Cleveland Daily Banner, the meeting attracted enough residents to pack the room. The people of Bradley County see the importance of better access in their future. Blake Kitterman, president of the Bradley County Young Democrats, told the Commission:

“When Bradley County citizens succeed, we all succeed, and EPB broadband expansion means an interconnected community…It means opportunities for businesses to affordably advertise their products, and students to be able to take part in higher forms of learning.”

A new state law is on the books in Vermont that supporters expect will encourage more investor activity supporting community broadband networks. 

The new law, which took effect this past June, allows for the creation of “communications union districts,” enabling towns and cities to band together to form geographic entities dedicated to establishing fiber-optic broadband networks for their area’s residents and businesses. 

A New Nomenclature

While Vermont towns have been able to work cooperatively via inter-local contracts, the new law is less cumbersome and uses a governmental nomenclature more familiar to most people—the union district. The union district governance model has been used for many years throughout Vermont, including by various utilities that have multi-town operations to handle, for example, sewer and water service.  

Carole Monroe; general manager of the East Central Vermont Community Fiber-Optic Network (ECFiber), a consortium of 24 Vermont communities that have banded together to provide broadband service; told our Christopher Mitchell there isn’t much practical difference for her group operating now as the East Central Vermont Telecommunications District instead of by an inter-local contract.  

“But I can say that in the municipal investment markets, they’re much more familiar with the municipal utility district, whether it’s a water district or sewer district or something along those lines,” Monroe told Chris in a recent edition of Community Broadband Bits podcast. “A municipal utility district is a common language for them. Inter-local contracts, not so much.” 

ECFiber Grew From Inter-Local Contract 

Irvin Thomae, chairman of the EC Vermont Telecommunications District board, agreed. He noted that seven years ago the east central Vermont communities created ECFiber through an inter-local contract. “But this (the inter-local contract) was unfamiliar to investors beyond our state borders,” Thomae told us.

“We needed a structure more capable of being recognized by large institutional investors. It (the communications union district) makes it easier for community broadband networks to appeal more for large investors.”

Iowa, known across the country for its agriculture, is known in other circles for its exciting community broadband projects. Earlier this year President Obama visited Cedar Falls to praise its municipal network and to support other efforts to improve rural high-speed Internet access. One of those efforts is Wiatel. This small telecommunications coop is beginning a $25 million project to upgrade its network from copper to fiber throughout its entire service area.

Fiber Connectivity

The cooper network that Wiatel uses now is sufficient for basic phone service, but upgrading to fiber will future-proof the network and provide better Internet speeds. The coop is based out of Lawton, a small town of about 1,000 people, but the coop serves an area of 700 miles. Wiatel hopes to start burying the fiber cables in the summer of 2016. Once the project gets started, officials from the cooperative estimate they will connect all residential and business customers to fiber within 24-30 months.

Wiatel is part of a long-growing movement as rural coops build fiber networks or upgrade to fiber to improve services for members. Just check out the Triangle Communications coop in Montana, the Paul Bunyan Communications coop in Minnesota, or Farmers Telecommunications Cooperative in Alabama. They’re providing next-generation connectivity at reasonable prices to rural communities often ignored by the large incumbent telephone and cable companies.

Coops: An Alternative

As the Sixth Circuit Court of Appeals reviews the FCC's February decision to scale back state anti-muni laws in Tennessee, at least two munis in the Volunteer State are giving back by saving dollars. Networks are also contributing substantially to  public coffers via Payment in Lieu of Taxes.

Clarksville, Tennessee, Network Becomes Revenue Positive in 2015

As of June 2015, the city’s utility provider CDE Lightband paid off all outstanding expenses related to their fiber optic network. General manager Brian Taylor described how the network has improved the city’s utility services and overall economic picture:

Our fiber project has proven to be an investment that benefits the electric system, the customers and the community. It has allowed us to enhance our distribution system and improve our system reliability; provide customer choice in video, Internet and telephone services and offer another tool in economic development. Every year access to high speed Internet becomes more critical in the recruitment of new business. We are proud to be an integral part of the growth and development of our community.

In a recent press release, CDE Lightband said their 1,200 mile fiber optic network saves the City of Clarksville a total of $4.5 million annually through technological upgrades that have improved the overall safety, reliability, and speed of electrical maintenance and service. The city has also seen 27% growth in broadband service customers over the past year. The network’s cost savings, along with direct revenues from electrical and broadband services, spell major dividends for CDE Lightband coupled with continued optimism for future growth.

Montana may have high speed limits on roads, but this Montana coop’s network will let you surf the web even faster. Triangle Communications received an almost $30 million loan from the USDA to provide rural Central Montana with high-speed Internet access.

Triangle Communications will finish upgrading its aging copper network - a technology mostly used for telephone - to a fiber network that can support both telephone and high-speed Internet. The loan comes from the USDA’s initiative, announced in July, promising $85 million to improve connectivity in rural areas. The Triangle Communications coop is upgrading its entire system spanning 16 counties (that’s more than 23,000 square miles from the Canadian to the Wyoming border!). 

Since 1953, the coop has been at the forefront of changing technologies. It’s based in Havre but expanded in 1994 with the purchase of 13 exchanges from US West (now known as CenturyLink). The coop began upgrading to fiber in 2009 in order to provide its members with state-of-the-art service and technology.

For more information about the network and the award, check out local news coverage of the almost $30 million loan and Triangle Communications’ video.

A member-owned nonprofit network and a telecommunications cooperative are helping seven regional libraries in mountainous northeast Georgia improve services for patrons with fast, affordable, reliable connectivity.

Collaboration for Community

The North Georgia Network Cooperative (NGN), in partnership with member-owned Georgia Public Web (GPW), recently launched 100 Megabit per second (Mbps) symmetrical broadband access speeds in seven library facilities in the Northeast Georgia Regional Library system (NEGRLS). Upgrades in some of the locations were significant. At the Helen library campus, the facility switched from a 6 Mbps download DSL connection to the new service.

The new initiative also enables the complementary “NGN Connect” service which includes hosted Wi-Fi service and a VoIP telephone system at each location. The upgrade extends from the cooperative's role in the Education Exchange, Georgia's only regional 10 Gigabit per second (Gbps) private cloud for exclusive use by school systems launched last September.

Helping Rural Georgians Help Themselves

Donna Unger, director of member services for NGN, explained NGN’s mission for the project:

I've often heard libraries build communities, it's very fitting that we are here today celebrating the new 100 Mbps connection to the Northeast Georgia Regional Library System provided by NGN Connect. This is what we're about, NGN's foundation was built upon the communities in which we serve. It's becoming more critical for libraries, government, education and businesses alike to have reliable and affordable bandwidth to meet the daily demands of the ever-changing dynamics of today's digital world.

NEGRLS Director Delana L. Knight highlighted the initiative’s benefits:

Offering free access to this important resource is another way that our local public libraries are empowering our communities by providing support for job seekers, students, as well as almost limitless educational and entertainment opportunities for all citizens.

We received the sad news today that Wally Bowen, one of the leading advocates fighting to bring affordable broadband to rural communities, especially in Appalachia, recently passed away.

In addition to many other contributions, Wally served as founder and executive director of the nonprofit Mountain Area Information Network in Asheville, North Carolina. He spoke on media reform at a number of venues, including the Aspen Institute, the New America Foundation, and the National Association of Telecommunications Officers and Advisors (NATOA).

Having collaborated with Wally, Chris understood his passion and dedication and gave this tribute:

Wally Bowen was an inspiration in many ways. He worked tirelessly to improve Internet access in the rural mountains of western North Carolina and for media justice. When I began working in this area, Wally was already a champion of community networks and incredibly welcoming.

Over the years, I always respected him and even enjoyed our occasionally friendly disagreements because I always knew we was thinking deeply about these issues and cared so very much about connecting people that the market was leaving behind.

Because we respected Wally's work, over the years we published a number of his pieces. We already feel the void left by the loss of Wally Bowen but are encouraged by the positive results he left behind.

Other coverage celebrating Wally Bowen:

Harold Feld's Tribute to Wally: In Memoriam: Wally Bowen — Internet Pioneer, Community Activist, and A Hell of God Guy.

Free Press: Mourning Wally Bowen, a Leading Light in Bringing Communications to All

Daily Yonder: Wally Bowen: He Put Rural On The Map – And On The Internet

Wally was honored at the 2015 Parker Lecture.