As Australia rolls out its National Broadband Network (NBN), an open access mostly FTTH network that will connect 90% of the population (with most of the rest connected with high capacity wireless), it is exploring telehealth opportunities:

“Expanding telehealth services to older Australians still living in their own homes will help health professionals identify potential health problems earlier, reduce the need for older Australians to travel to receive treatment and increase access to healthcare services and specialists.”

Australia has recognized that the private sector will not meet the needs of its businesses and residents and is therefore investing in a next-generation open access network and seeking ways to maximize its social benefits. Israel appears poised to follow Australia's lead. And what is happening in the US? Well, AT&T admits that DSL is dying, has stopped expanding its supposed next-generation product, and is working state legislatures to prevent others from building the needed networks. SNAFU.

A story from Washington, DC, seems appropriate for Thanksgiving. DC's Community of Hope provides healthcare and housing to people in difficult situations. It needs Internet access for its medical work but also for computer labs where people can search for jobs and students can do homework. DC-Net is now providing their access:

“Internet service has been a critical requirement for our programs for some time,” said Victoria Roberts, Community of Hope’s Deputy Director. “Through DC-CAN we are now able to get seven times more bandwidth for the same cost we previously paid, and the fiber network ensures that connection is truly reliable, which has been challenging in the neighborhoods we work in.”

DC-Net is going beyond just providing access to their locations by setting up Wi-Fi access points for the neighborhood to use as well. DC-Net was created as a muni-owned fiber-optic network connecting schools, muni buildings, and libraries but has gone on to connect some federal agencies. The network has proved incredibly reliable -- far beyond what was provided by the incumbent or other national carriers. And now it is finding ways of delivering services to the people who may need them the most but have the least ability to pay.

Eau Claire and Chippewa Falls worked together to build a high-capacity broadband network connecting community anchor institutions, including schools, clinics, traffic lights, and more. Called the CINC for Chippewa Valley Inter-Networking Consortium, they now have higher capacity connections, more control over their future telecom needs and budgets, and can run applications that make their operations more efficient (lessening the pressure on the tax base). The Building Community Capacity through Broadband, a stimulus funded project, has put together a video describing what they did and how they did it. Learn more about these BCCB projects here. As you watch the video, remember that AT&T and its industry allies want to make projects like this illegal. They want to force the schools, libraries, etc. to pay much more for slower, less reliable networks. While the WiscNet attack in June failed, telcos are still trying to create a monopoly for themselves providing these services. The lawsuit against the project has a hearing on November 11th where the Judge may decide to dismiss the case. If the case proceeds, the bench trial will be in early January. We frequently see lawsuits like these from big carriers that do not expect to win the case but rather are just harassing any potential competition to raise the cost of challenging the incumbent. So even though BCCB will almost certainly win the case, the telco goal is mostly to threaten any community that follows the good example of these communities.

Our mantra is that communities need fast, affordable, and reliable access to the Internet. We imply universal access, but another key word should be ubiquitous. As new applications are integrated into our modern life, particularly those related to health care, dead zones could actually endanger our health! A recent story in Sports Illustrated, about a young boy with health problems using a wireless-controlled robot to roam the halls at school hints at future possibilities if we have ubiquitous affordable, reliable, and fast connectivity. The attached video has some scenes that show the robot in school. This video is no longer available.

nDanville, the open access fiber-optic network operated by the City's public power company, has been quietly succeeding in southern Virginia. This network has already connected half of the communities health care facilities, allowing them to improve medical care with 100Mbps and gigabit circuits at affordable prices.

The medical network connects Danville Regional Medical Center and about half of the area’s medical facilities to nDanville, a fiber optic network established by the city. The high performance fiber allows real-time access to patient medical records and allows for the exchange of CT and MRI scans instantly.

Another article notes praise for the city's efforts:

"It enables us to better serve our patients by having their information available across multiple sites," Deaton [CEO of Danville Regional Medical Center] said. "We will continue to support the city's efforts in linking our medical community together, and I want to commend the city for the success of this network and making healthcare a top priority."

The Intelligent Community Forum brought the above success to my attention in awarding Danville a recipient of its 2011 Founders Awards. (Chattanooga is in the running for Intelligent Community of year and really, how could it possibly lose?) But ICF details more impressive details from nDanville:

On average, fiber connections for these facilities provide twice the bandwidth of the previous connection but at a 30% savings. More than 90% of the medical facilities (approximately 125 locations) are to be connected by December  2011, said Jason Grey, the Broadband Network Manager of Danville Utilities, who led Danville’s charge to become a recognized intelligent community by ICF. … ICF further noted that the nDanville Network provides a crucial link between the Danville Diagnostic and Imaging Center and the Danville Regional Hospital.