The Unpredictable Certainty White Papers (1997) / Chapter Skim
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The Argument for Universal Access to the Health Care Information Infrastructure: The Particular Needs of Rural Areas, the Poor, and the Underserved
The Argument for Universal Access to the Health Care Information Infrastructure: The Particular Needs of Rural Areas, the Poor, and the Underserved
Pages 209-216
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From page 209... ...
As a result of a combination of funding transfers, funded and Ended mandates, and regulations, the telecommunications industry has achieved a 94 percent overall telephone access rate. Unfortunately, He very groups Hat may benefit most from access to the NH are the very ones that have had the lowest penetration rate in He existing telecommunications infias~ucture.
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From page 210... ...
Persons living in rural areas must pay toll charges when contacting government or regional health care offices, whereas residents in larger cities have no such expenses. The case has been made that the Nil wall make it possible for rural, poor, and underserved populations to access high~uality educational and heady care resources.
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From page 211... ...
The idea of universal telephone service has been a foundation of the information policy of the United States since He Communication Act of 1934 was passed, creating He Federal Communications Commission for the purpose of regulating interstate and foreign commerce in communications by wire and radio so as to make available, so far as possible, to all the people of Me United States a rapid, efficient, nationwide, and worldwide wire and radio communications service with adequate facilities at reasonable charges, for the purpose of national defense, for me purpose of promoting safer of life and proper through the use of wire and radio communications, and for the purpose of securing a more effective execution of this policy by centralizing author. The current telephone penetration rate for U.S.
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From page 212... ...
The current method for providing near universal access to telephone services relies on funding transfers among carriers, transfers from over service providers, transfers between customers, and government contributions. The primary transfers have been from business and toll service users to basic residential subscribers and from urban to rural exchanges.
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From page 213... ...
In some areas wireless communication may be more reasonable, while in others a cable system wall be appropriate. Abler dealing with a relatively stable technology (twisted pair telephone lined for many decades, we are now faced with a rapidly changing panoply of technologies (digital telephone lines, fiber optic cables, microwave towers, satellite linkages, etc.)
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From page 214... ...
If, as expected, it improves our educational system, provides continuing medical education services, enhances heal care, and brings these services to the poor, underprivileged, and rural populations, then the government (which currently supplies many expensive remedial series to these groups) would benefit the most.
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From page 215... ...
Method of Funding Universal Access We favor a value-added tax on the gross revenues of all providers of telecommunications services. This would include not only competitive access providers but also groups that use the NIT to provide data, entertainment, news, financial information, etc.
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From page 216... ...
1994. "Universal Service: The Rural Challenge Changing Requirements and Policy Options," Working Paper #2, Benton Foundation, Washington, D.C.
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