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What a Lack of Broadband and Telehealth is Doing to Western North Carolina

A new report out by North Carolina's Broadband and Infrastructure Office looks at the ways that broadband and telehealth can solve some of the disparities that disproportionately affect tens of thousands of its citizens living in the western fifth of the state. These “coal-impacted communities,” it argues, would benefit greatly across a host of interventions which would be facilitated by investment in wireline broadband infrastructure, technical assistance, and digital literacy programs. If implemented, they would increase access to medical doctors and mental health professionals for all North Carolinians, eliminate barriers related to transportation, reduce state healthcare costs, increase the speed of intervention and reduce the time to diagnosis, and eliminate unnecessary hospital and emergency room admissions.

Healthcare in the High Country

"Carolina Crosscut: Broadband and Telehealth in North Carolina's Appalchain Coal-Impacted Communities" [pdf] comes out of a $100,000 Appalachian Regional Commission grant given to the Office of Broadband Infrastructure and the Office of Rural Development for two purposes: to figure out broadband availability and adoption as they relate to health disparities across the twenty-county region clustered along the state’s western border, and to map assets and come up with specific policy recommendations for state agencies and lawmakers.

These are North Carolina’s “coal-impacted” communities, which the report defines as those which exhibit a “generational dependence on coal extraction and related supply chains [which] has resulted in personal and community economic devastation.” To be clear and despite its title, the framing here is economic, and not based on the adverse health effects of working in coal extraction. It should also be noted that the economic impact described in the report surely extended beyond the twenty counties at the center of the study.

What a Lack of Broadband and Telehealth is Doing to Western North Carolina

A new report out by North Carolina's Broadband and Infrastructure Office looks at the ways that broadband and telehealth can solve some of the disparities that disproportionately affect tens of thousands of its citizens living in the western fifth of the state. These “coal-impacted communities,” it argues, would benefit greatly across a host of interventions which would be facilitated by investment in wireline broadband infrastructure, technical assistance, and digital literacy programs. If implemented, they would increase access to medical doctors and mental health professionals for all North Carolinians, eliminate barriers related to transportation, reduce state healthcare costs, increase the speed of intervention and reduce the time to diagnosis, and eliminate unnecessary hospital and emergency room admissions.

Healthcare in the High Country

"Carolina Crosscut: Broadband and Telehealth in North Carolina's Appalchain Coal-Impacted Communities" [pdf] comes out of a $100,000 Appalachian Regional Commission grant given to the Office of Broadband Infrastructure and the Office of Rural Development for two purposes: to figure out broadband availability and adoption as they relate to health disparities across the twenty-county region clustered along the state’s western border, and to map assets and come up with specific policy recommendations for state agencies and lawmakers.

These are North Carolina’s “coal-impacted” communities, which the report defines as those which exhibit a “generational dependence on coal extraction and related supply chains [which] has resulted in personal and community economic devastation.” To be clear and despite its title, the framing here is economic, and not based on the adverse health effects of working in coal extraction. It should also be noted that the economic impact described in the report surely extended beyond the twenty counties at the center of the study.

What a Lack of Broadband and Telehealth is Doing to Western North Carolina

A new report out by North Carolina's Broadband and Infrastructure Office looks at the ways that broadband and telehealth can solve some of the disparities that disproportionately affect tens of thousands of its citizens living in the western fifth of the state. These “coal-impacted communities,” it argues, would benefit greatly across a host of interventions which would be facilitated by investment in wireline broadband infrastructure, technical assistance, and digital literacy programs. If implemented, they would increase access to medical doctors and mental health professionals for all North Carolinians, eliminate barriers related to transportation, reduce state healthcare costs, increase the speed of intervention and reduce the time to diagnosis, and eliminate unnecessary hospital and emergency room admissions.

Healthcare in the High Country

"Carolina Crosscut: Broadband and Telehealth in North Carolina's Appalchain Coal-Impacted Communities" [pdf] comes out of a $100,000 Appalachian Regional Commission grant given to the Office of Broadband Infrastructure and the Office of Rural Development for two purposes: to figure out broadband availability and adoption as they relate to health disparities across the twenty-county region clustered along the state’s western border, and to map assets and come up with specific policy recommendations for state agencies and lawmakers.

These are North Carolina’s “coal-impacted” communities, which the report defines as those which exhibit a “generational dependence on coal extraction and related supply chains [which] has resulted in personal and community economic devastation.” To be clear and despite its title, the framing here is economic, and not based on the adverse health effects of working in coal extraction. It should also be noted that the economic impact described in the report surely extended beyond the twenty counties at the center of the study.

What a Lack of Broadband and Telehealth is Doing to Western North Carolina

A new report out by North Carolina's Broadband and Infrastructure Office looks at the ways that broadband and telehealth can solve some of the disparities that disproportionately affect tens of thousands of its citizens living in the western fifth of the state. These “coal-impacted communities,” it argues, would benefit greatly across a host of interventions which would be facilitated by investment in wireline broadband infrastructure, technical assistance, and digital literacy programs. If implemented, they would increase access to medical doctors and mental health professionals for all North Carolinians, eliminate barriers related to transportation, reduce state healthcare costs, increase the speed of intervention and reduce the time to diagnosis, and eliminate unnecessary hospital and emergency room admissions.

Healthcare in the High Country

"Carolina Crosscut: Broadband and Telehealth in North Carolina's Appalchain Coal-Impacted Communities" [pdf] comes out of a $100,000 Appalachian Regional Commission grant given to the Office of Broadband Infrastructure and the Office of Rural Development for two purposes: to figure out broadband availability and adoption as they relate to health disparities across the twenty-county region clustered along the state’s western border, and to map assets and come up with specific policy recommendations for state agencies and lawmakers.

These are North Carolina’s “coal-impacted” communities, which the report defines as those which exhibit a “generational dependence on coal extraction and related supply chains [which] has resulted in personal and community economic devastation.” To be clear and despite its title, the framing here is economic, and not based on the adverse health effects of working in coal extraction. It should also be noted that the economic impact described in the report surely extended beyond the twenty counties at the center of the study.

What a Lack of Broadband and Telehealth is Doing to Western North Carolina

A new report out by North Carolina's Broadband and Infrastructure Office looks at the ways that broadband and telehealth can solve some of the disparities that disproportionately affect tens of thousands of its citizens living in the western fifth of the state. These “coal-impacted communities,” it argues, would benefit greatly across a host of interventions which would be facilitated by investment in wireline broadband infrastructure, technical assistance, and digital literacy programs. If implemented, they would increase access to medical doctors and mental health professionals for all North Carolinians, eliminate barriers related to transportation, reduce state healthcare costs, increase the speed of intervention and reduce the time to diagnosis, and eliminate unnecessary hospital and emergency room admissions.

Healthcare in the High Country

"Carolina Crosscut: Broadband and Telehealth in North Carolina's Appalchain Coal-Impacted Communities" [pdf] comes out of a $100,000 Appalachian Regional Commission grant given to the Office of Broadband Infrastructure and the Office of Rural Development for two purposes: to figure out broadband availability and adoption as they relate to health disparities across the twenty-county region clustered along the state’s western border, and to map assets and come up with specific policy recommendations for state agencies and lawmakers.

These are North Carolina’s “coal-impacted” communities, which the report defines as those which exhibit a “generational dependence on coal extraction and related supply chains [which] has resulted in personal and community economic devastation.” To be clear and despite its title, the framing here is economic, and not based on the adverse health effects of working in coal extraction. It should also be noted that the economic impact described in the report surely extended beyond the twenty counties at the center of the study.

What a Lack of Broadband and Telehealth is Doing to Western North Carolina

A new report out by North Carolina's Broadband and Infrastructure Office looks at the ways that broadband and telehealth can solve some of the disparities that disproportionately affect tens of thousands of its citizens living in the western fifth of the state. These “coal-impacted communities,” it argues, would benefit greatly across a host of interventions which would be facilitated by investment in wireline broadband infrastructure, technical assistance, and digital literacy programs. If implemented, they would increase access to medical doctors and mental health professionals for all North Carolinians, eliminate barriers related to transportation, reduce state healthcare costs, increase the speed of intervention and reduce the time to diagnosis, and eliminate unnecessary hospital and emergency room admissions.

Healthcare in the High Country

"Carolina Crosscut: Broadband and Telehealth in North Carolina's Appalchain Coal-Impacted Communities" [pdf] comes out of a $100,000 Appalachian Regional Commission grant given to the Office of Broadband Infrastructure and the Office of Rural Development for two purposes: to figure out broadband availability and adoption as they relate to health disparities across the twenty-county region clustered along the state’s western border, and to map assets and come up with specific policy recommendations for state agencies and lawmakers.

These are North Carolina’s “coal-impacted” communities, which the report defines as those which exhibit a “generational dependence on coal extraction and related supply chains [which] has resulted in personal and community economic devastation.” To be clear and despite its title, the framing here is economic, and not based on the adverse health effects of working in coal extraction. It should also be noted that the economic impact described in the report surely extended beyond the twenty counties at the center of the study.

How Local Providers Built the Nation’s Best Internet Access in Rural North Dakota

Image

Contrary to the common narrative of poor connectivity and dim prospects for rural America, the vast majority of rural North Dakotans have gigabit fiber Internet access available to them today.

Our case study, How Local Providers Built the Nation’s Best Internet Access in Rural North Dakota, explains how this came to be, highlighting how 15 telephone cooperatives and local companies came together to invest in their rural communities and build fiber broadband networks across the state. In the 1990s, those companies united to purchase 68 rural telephone exchanges in North Dakota from regional provider US West (now CenturyLink). Then, they leveraged federal broadband funds to deploy some of the most extensive fiber networks in the country, turning North Dakota into the rural broadband oasis that it is today.

Download the case study, How Local Providers Built the Nation’s Best Internet Access in Rural North Dakota [pdf].

A Model for Better Rural Connectivity

The case study explores North Dakota's exceptional rural connectivity through several maps and graphs and offers the following takeaways:

  • 15 local telephone companies and cooperatives took advantage of regional monopoly US West's failure to view its rural properties as profitable and acquired 68 of the provider's exchanges in rural North Dakota, creating the foundation for fiber networks that would one day crisscross the state.
  • More than three quarters of rural North Dakotans have access to fiber broadband today, compared to only 20 percent of rural residents nationally. Over 80 percent of North Dakota's expanse is covered by fiber networks.
  • National telecom monopolies refuse to substantially upgrade their rural networks even though they receive billions in subsidies, while local co-ops and companies continue to invest in their communities ⁠— proving the solutions for better rural connectivity already exist.

Read How Local Providers Built the Nation’s Best Internet Access in Rural North Dakota [pdf].

 

How Local Providers Built the Nation’s Best Internet Access in Rural North Dakota

Image

Contrary to the common narrative of poor connectivity and dim prospects for rural America, the vast majority of rural North Dakotans have gigabit fiber Internet access available to them today.

Our case study, How Local Providers Built the Nation’s Best Internet Access in Rural North Dakota, explains how this came to be, highlighting how 15 telephone cooperatives and local companies came together to invest in their rural communities and build fiber broadband networks across the state. In the 1990s, those companies united to purchase 68 rural telephone exchanges in North Dakota from regional provider US West (now CenturyLink). Then, they leveraged federal broadband funds to deploy some of the most extensive fiber networks in the country, turning North Dakota into the rural broadband oasis that it is today.

Download the case study, How Local Providers Built the Nation’s Best Internet Access in Rural North Dakota [pdf].

A Model for Better Rural Connectivity

The case study explores North Dakota's exceptional rural connectivity through several maps and graphs and offers the following takeaways:

  • 15 local telephone companies and cooperatives took advantage of regional monopoly US West's failure to view its rural properties as profitable and acquired 68 of the provider's exchanges in rural North Dakota, creating the foundation for fiber networks that would one day crisscross the state.
  • More than three quarters of rural North Dakotans have access to fiber broadband today, compared to only 20 percent of rural residents nationally. Over 80 percent of North Dakota's expanse is covered by fiber networks.
  • National telecom monopolies refuse to substantially upgrade their rural networks even though they receive billions in subsidies, while local co-ops and companies continue to invest in their communities ⁠— proving the solutions for better rural connectivity already exist.

Read How Local Providers Built the Nation’s Best Internet Access in Rural North Dakota [pdf].

 

How Local Providers Built the Nation’s Best Internet Access in Rural North Dakota

Image

Contrary to the common narrative of poor connectivity and dim prospects for rural America, the vast majority of rural North Dakotans have gigabit fiber Internet access available to them today.

Our case study, How Local Providers Built the Nation’s Best Internet Access in Rural North Dakota, explains how this came to be, highlighting how 15 telephone cooperatives and local companies came together to invest in their rural communities and build fiber broadband networks across the state. In the 1990s, those companies united to purchase 68 rural telephone exchanges in North Dakota from regional provider US West (now CenturyLink). Then, they leveraged federal broadband funds to deploy some of the most extensive fiber networks in the country, turning North Dakota into the rural broadband oasis that it is today.

Download the case study, How Local Providers Built the Nation’s Best Internet Access in Rural North Dakota [pdf].

A Model for Better Rural Connectivity

The case study explores North Dakota's exceptional rural connectivity through several maps and graphs and offers the following takeaways:

  • 15 local telephone companies and cooperatives took advantage of regional monopoly US West's failure to view its rural properties as profitable and acquired 68 of the provider's exchanges in rural North Dakota, creating the foundation for fiber networks that would one day crisscross the state.
  • More than three quarters of rural North Dakotans have access to fiber broadband today, compared to only 20 percent of rural residents nationally. Over 80 percent of North Dakota's expanse is covered by fiber networks.
  • National telecom monopolies refuse to substantially upgrade their rural networks even though they receive billions in subsidies, while local co-ops and companies continue to invest in their communities ⁠— proving the solutions for better rural connectivity already exist.

Read How Local Providers Built the Nation’s Best Internet Access in Rural North Dakota [pdf].

 

How Local Providers Built the Nation’s Best Internet Access in Rural North Dakota

Image

Contrary to the common narrative of poor connectivity and dim prospects for rural America, the vast majority of rural North Dakotans have gigabit fiber Internet access available to them today.

Our case study, How Local Providers Built the Nation’s Best Internet Access in Rural North Dakota, explains how this came to be, highlighting how 15 telephone cooperatives and local companies came together to invest in their rural communities and build fiber broadband networks across the state. In the 1990s, those companies united to purchase 68 rural telephone exchanges in North Dakota from regional provider US West (now CenturyLink). Then, they leveraged federal broadband funds to deploy some of the most extensive fiber networks in the country, turning North Dakota into the rural broadband oasis that it is today.

Download the case study, How Local Providers Built the Nation’s Best Internet Access in Rural North Dakota [pdf].

A Model for Better Rural Connectivity

The case study explores North Dakota's exceptional rural connectivity through several maps and graphs and offers the following takeaways:

  • 15 local telephone companies and cooperatives took advantage of regional monopoly US West's failure to view its rural properties as profitable and acquired 68 of the provider's exchanges in rural North Dakota, creating the foundation for fiber networks that would one day crisscross the state.
  • More than three quarters of rural North Dakotans have access to fiber broadband today, compared to only 20 percent of rural residents nationally. Over 80 percent of North Dakota's expanse is covered by fiber networks.
  • National telecom monopolies refuse to substantially upgrade their rural networks even though they receive billions in subsidies, while local co-ops and companies continue to invest in their communities ⁠— proving the solutions for better rural connectivity already exist.

Read How Local Providers Built the Nation’s Best Internet Access in Rural North Dakota [pdf].