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Digital Inclusion

Craig Settles: Libraries and Telehealth on the Vanguard for Broadband

Libraries can do for telehealth what they did for broadband: Provide low-income folks with access to digital and healthcare literacy.

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The author of this Expert Opinion in Craig Settles, director of Communities United for Broadband

Libraries are the vanguard of a forces working to close the “healthcare gap.” The FCC’s E-rate broadband grant program for libraries and schools, and the Emergency Broadband Benefit broadband subsidy, collectively are providing over $10 billion immediately. Libraries can leverage these funds to deploy telehealth and broadband to attack the heathcare gap.

Many libraries are moving toward telehealth. Three libraries in Delaware have recently installed telehealth kiosks, Seaford, Milford and Laurel. The Pottsboro, TX public library rolled out their telehealth center in January this year. Several library’s around the country are developing  digital navigators programs to facilitate telehealth.

Lucinda Nord, Executive Director of the Indiana Library Federation says, “In 2020, many courts required virtual online attendance. To help patrons, librarians learned effective virtual meeting skills that will help us expedite telehealth. We partnered with state agencies to train over 1,000 library employees to help residents apply for unemployment, SNAP, and health coverage.” In the process, these libraries acquired resources critical for telehealth.

The healthcare as well as the broadband gap exists in the rural areas, but the media, policymakers, and politicians have selective myopia when it comes to urban broadband and by default, telehealth. 

Libraries and telehealth attack the healthcare gap

There are over 12 million homes in urban America that cannot get neither broadband nor telehealth. 75 percent of those are homes of African-Americans or other people of color. Countless millions of others homes technically have broadband, but in reality it is a pathetic attempt at coverage that lacks the strength to carry telehealth into enough homes.                           

Libraries can do for telehealth what they did for broadband: provide low-income folks with access to the technology, drive adoption, and facilitate digital and healthcare literacy. With FCC funding plus the Institute of Museums and Library Services’ $200 million, libraries get a running start on making a difference. Urban libraries have to push hard for grant equity!      

Telehealth isn’t just chats with physicians, it’s using intranets and Internet networks to do everything medical that gets you and keeps you healed. Telehealth brings digital equity to the healthcare gap. This gap is abundantly prevalent in among people of color.

Analysis by the Kaiser Family Foundation show 33 percent of Hispanic women and 31 percent of African-American men don’t have a regular doctor. According to the CDC, six out of 10 people in the U.S. suffer from a chronic disease, four out of 10 people suffer from two. Diabetes is 60 percent more common in African Americans and the men are 50 percent more likely to get lung cancer. Twice as many African Americans would die as all the other ethnic groups combined.

Libraries exist to help

FCC started the Emergency Broadband Benefit of $3.2 billion, which will be available until expended or until six months after the COVID-19 emergency declaration expires. The EBB provides eligible low-income households with a monthly $50 discount for broadband service from participating providers, as well as a one-time $100 discount on an internet-enabled device. 

EBB recipients are potential telehealth users and patrons needing training and digital literacy. “At a minimum, we know libraries will want to have the information handy to respond to any requests,” says Larra Clark, Deputy Director of the Office for Information Technology Policy at the American Library Association.

Digital navigators are a major force in moving people over the digital literacy hurdle, and often they are hired from the disadvantaged neighborhood that the libraries serve. Shauna Edson, Digital Inclusion Coordinator Salt Lake City Public Library, And she is partnering with the National Digital Inclusion Alliance shaping a national digital navigator program.

“Locally, our digital navigators problem solve and help connect people to the appropriate free or low-cost resources such a Chromebook or a laptop,” she says. “We have mostly beginner computer users wanting to use Zoom for workshops and communicating with friends and families. There are some organizations focusing on this navigator model just for telehealth support.”

Decide navigators, expect quite a few large libraries will seek funding to convert study rooms into telehealth rooms at least for part of the week, and small libraries are considering buying telehealth kiosks to compensate for the limited spaces. Wi-Fi hotspots became particularly popular during the pandemic and telehealth will make them even more so. 

Quite a few libraries will want to tap into these grant programs to build out their physical space to support telehealth, and also boost their broadband capabilities. Micheal McKerley, CTO at ENA says, “Libraries need that data traffic to be segmented and not be sniffable by hackers. That segmentation may or may not require new broadband infrastructure, but it may need a network assessment. Even you don’t need new equipment, you might need a re-design.”

“A lot of libraries right now are struggling to keep up with everything that’s going on,” says Henry Stokes, Library Technology Consultant at Texas State Library and Archives. “But as libraries move forward and they see their peers push out telehealth initiatives, we’ll see healthcare become even prominently featured in libraries. Telehealth is such a great fit!” And telehealth will drive broadband like there’s no tomorrow.

Craig Settles conducts needs analyses with community stakeholders who want broadband networks to improve economic development, healthcare, education and local government. He hosts the radio talk show Gigabit Nation, and is Director of Communities United for Broadband, a national grass roots effort to assist communities launching their networks. He recently created a guide to help librarians uncover patrons’ healthcare needs, create community health milestones and effectively market telehealth. This piece is exclusive to Broadband Breakfast.

Broadband Breakfast accepts commentary from informed observers of the broadband scene. Please send pieces to commentary@breakfast.media. The views expressed in Expert Opinion pieces do not necessarily reflect the views of Broadband Breakfast and Breakfast Media LLC.

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Digital Inclusion

Doug Lodder: How to Prevent the Economic Climate from Worsening the Digital Divide

There are government programs created to shrink the digital divide, but not many Americans know what’s out there.

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The author of this Expert Opinion is Doug Lodder, president of TruConnect

From gas to groceries to rent, prices are rocketing faster than they have in decades. This leaves many American families without the means to pay for essentials, including cellphone and internet services. In fact, the Center on Poverty and Social Policy reports that poverty rates have been steadily climbing since March. We’re talking about millions of people at risk of being left behind in the gulf between those who have access to connectivity and those who don’t.

We must not allow this digital divide to grow in the wake of the current economic climate. There is so much more at stake here than simply access to the internet or owning a smartphone.

What’s at stake if the digital divide worsens

Our reliance on connectivity has been growing steadily for years, and the pandemic only accelerated our dependence. Having a cell phone or internet access are no longer luxuries, they are vital necessities.

When a low-income American doesn’t have access to connectivity, they are put at an even greater disadvantage. They are limited in their ability to seek and apply for a job, they don’t have the option of convenient and cost-effective telehealth, opportunities for education shrink, and accessing social programs becomes more difficult. I haven’t even mentioned the social benefits that connectivity gives us humans—it’s natural to want to call our friends and families, and for many, necessary to share news or updates. The loss or absence of connectivity can easily create a snowball effect, compounding challenges for low-income Americans.

The stakes are certainly high. Thankfully, there are government programs created to shrink the digital divide. The challenge is that not many Americans know what’s out there.

What can be done to improve it

In the 1980s, the Reagan administration created the federal Lifeline program to subsidize phones and bring them into every household. The program has since evolved to include mobile and broadband services.

More than 34 million low-income Americans are eligible for subsidized cell phones and internet access through the Lifeline program. Unfortunately, only 1 in 5 eligible people are taking advantage of the program because most qualified Americans don’t even know the program exists.

The situation is similar with the FCC’s Affordable Connectivity Program, another federal government program aimed at bringing connectivity to low-income Americans. Through ACP, qualifying households can get connected by answering a few simple questions and submitting eligibility documents.

Experts estimate that 48 million households—or nearly 40% of households in the country—qualify for the ACP. But, just like Lifeline, too few Americans are taking advantage of the program.

So, what can be done to increase the use of these programs and close the digital divide?

Our vision of true digital equity is where every American is connected through a diverse network of solutions. This means we can’t rely solely on fixed terrestrial. According to research from Pew, 27% of people earning less than $30,000 a year did not have home broadband and relied on smartphones for connectivity. Another benefit of mobile connectivity—more Americans have access to it. FCC data shows that 99.9% of Americans live in an LTE coverage area, whereas only 94% of the country has access to fixed terrestrial broadband where they live.

Additionally, we need more local communities to get behind these programs and proactively market them. We should see ads plastered across billboards and buses in the most impacted areas. Companies like ours, which provide services subsidized through Lifeline and ACP, market and promote the programs, but we’re limited in our reach. It’s imperative that local communities and their governments invest more resources to promote Lifeline, ACP and other connectivity programs.

While there’s no panacea for the problem at hand, it is imperative that we all do our part, especially as the economic climate threatens to grow the digital divide. The fate of millions of Americans is at stake.

Doug Lodder in President of TruConnect, a mobile provider that offers eligible consumers unlimited talk, text, and data, a free Android smartphone, free shipping, and access to over 10 million Wi-Fi hotspots; free international calling to Mexico, Canada, South Korea, China and Vietnam; plus an option to purchase tablets at $10.01. This piece is exclusive to Broadband Breakfast.

Broadband Breakfast accepts commentary from informed observers of the broadband scene. Please send pieces to commentary@breakfast.media. The views expressed in Expert Opinion pieces do not necessarily reflect the views of Broadband Breakfast and Breakfast Media LLC.

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Digital Inclusion

Kate Forscey: Biden’s Broadband Plan Begs the Question, If We Build it, Will Consumers Really Come?

One of the biggest problems with getting broadband access to all Americans is not just deployment but adoption.

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Author of this Expert Opinion is Kate Forscey, founder of KRF Strategies LLC

One good thing came out of the pandemic: Politicians across America have finally recognized that Internet access in 2022 is not a luxury, it is a necessity.  And Congress stepped up to the plate and passed the bipartisan Infrastructure, Investment, and Job Act, dedicating more money to closing the digital divide than ever before.

The recipe for achieving ubiquitous broadband requires three things: deployment, affordability, and adoption. For the past couple of decades, however, the U.S. has taken a “Field of Dreams” approach that ignores the last element. Our government approach’s operating assumption is “if you build the network, consumers will use it.” The data show that simply isn’t the case.

One of the biggest problems with getting broadband access to all Americans is not just deployment but adoption of the technology. Household income, region, race, and even the pandemic all play intertwined roles.

study by NTCA in just the past year showed that broadband adoption in areas where it is available dips from 99% in the age range from 18-29 to 75% in older demographics. Lack of adoption is also linked to level of education, from 71% in less than high school education to 98% in college graduates. The fact remains that getting Americans connected hinges on a lack of digital literacy and awareness, which runs the gamut from not understanding the technology itself to not realizing the program is there in the first place.

So when the National Telecommunications and Information Administration released its rules for the Broadband, Equity, Access, and Deployment Program on May 13th, there was a bipartisan breath of relief that the ball is rolling.

The Biden Administration is following the same tired playbook in focusing on buildout

Unfortunately, a closer analysis suggests the Biden Administration is following the same, tired playbook by placing the primary focus on buildout. The BEAD Program makes $42.45 billion available for broadband via grants to the States. States must prioritize buildout in unserved areas before moving on to underserved areas (or at least show that they have a plan to get access to an unserved area). The discussion of “non-deployment activities” for spurring adoption is short and relatively vague, almost like an afterthought.

Here’s one problem: States are not homogenous in terms of unserved areas. States like Kansas and West Virginia have significant (largely rural) unserved areas, while states like Maryland, Connecticut, or Florida have few.  So NTIA’s focus on broadband deployment means that States with fewer unserved areas are likely to focus their spending on additional buildout in areas that are already served (i.e., overbuilding), which is inefficient and likely unnecessary. After all, why spend scarce dollars to build out more in areas that already have broadband? Such an approach ignores the adoption prong of a successful broadband plan.

We need to adjust how we think of our priorities. Instead of implementing a field-of-dreams broadband plan, policymakers should ask themselves, if broadband is laid using federal infrastructure funding, but no one elects to adopt it, what have we accomplished? Probably nothing.

States don’t need to follow the NTIA’s lead and focus exclusively on deployment

The good news for States with fewer unserved areas is that they don’t need to follow NTIA’s lead and focus exclusively on deployment. The rules allow them to use federal funds on adoption projects  once they bring affordable broadband to all unserved areas. Education, outreach, and digital literacy are paramount in furthering Congress’s bipartisan goals. States should give more priority to educating consumers via digital equity programs (e.g., digital literacy education, broadband sign-up assistance, and remote learning facilities) once they have reached the unserved.

It’s time for States to formalize programs to Get Out The Adoption. States should hire people to knock on doors and leave pamphlets that let low-income Americans, minority and Tribal Americans, and veterans know there is a subsidy program available to them, how to apply, what the services are, and how to get access (and plus–that’s job creation!).

States should provide pop-ups like knock-off Genius bars in neighborhoods with historically low adoption rates where people can go to get help with devices or troubleshoot their newly acquired access. States should teach new users how to practice good cyber-hygiene; show them how telehealth can make their lives easier. States should create programs to educate new users about things a lot of those of us who work online every day take for granted as obvious.

Any funding program designed to bridge the digital divide needs to account for deployment, affordability, and adoption. And it is a fundamental economic principle—the more people see the value proposition and the less intimidated they are in using the technology, the more likely they are to adopt the technology. This cannot be an “if you build it, they will come.” We need to make the case for why we’re doing all of this in the first place. If it’s really worth $42.45 billion, then let’s make it so.

Kate Forscey is a contributing fellow for the Digital Progress Institute and principal and founder of KRF Strategies LLC. She has served as senior technology policy advisor for Congresswoman Anna G. Eshoo and policy counsel at Public Knowledge. This piece is exclusive to Broadband Breakfast.

Broadband Breakfast accepts commentary from informed observers of the broadband scene. Please send pieces to commentary@breakfast.media. The views expressed in Expert Opinion pieces do not necessarily reflect the views of Broadband Breakfast and Breakfast Media LLC.

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Digital Inclusion

FCC Chairwoman Jessica Rosenworcel Emphasizes 100 Percent Broadband Adoption

‘It’s about making sure wireless connections are available in 100 percent of rural America,’ said the chairwoman.

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Photo of Kelley Dunne, CEO of AmeriCrew, leading panel on workforce issues at the Rural Wireless Infrastructure Summit by Drew Clark

PARK CITY, Utah, June 28, 2022 – The Federal Communications Commission is making progress towards bringing “affordable, reliable, high-speed broadband to 100 percent of the country,” Chairwoman Jessica Rosenworcel said at the Rural Wireless Infrastructure Summit here on Tuesday.

Rosenworcel pointed to the $65 billion Infrastructure Investment and Jobs Act now being deployed across the country, with a particular focus on unconnected rural and tribal areas.

Although the Commerce Department’s National Telecommunications and Information Administration will take the lead with these funds, the FCC’s new broadband coverage maps will be important in implementing state digital equity plans.

In her remarks, Rosenworcel also discussed how the upcoming 2.5 GigaHertz spectrum auction will involve licensing spectrum primarily to rural areas.

At the July FCC open meeting, said Rosenworcel, the agency is scheduled to establish a new program to help enhance wireless competition. It is called the Enhanced Competition Incentive Program.

The program aims to build incentives for existing carriers to build opportunities for smaller carriers and tribal nations through leasing or partitioning spectrum. Existing carriers will be rewarded with longer license terms, extensions on build-out obligations, and more flexibility in construction requirements.

“It’s about making sure wireless connections are available in 100 percent of rural America,” she said.

She also indicated her commitment to work with Congress to fund the FCC’s “rip and replace” program to reimburse many rural operators’ transitions from Chinese-manufactured telecommunications equipment. She also touted the role that open radio access networks can plan in more secure telecommunications infrastructure.

In other news at the conference, FCC Commissioner Brendan Carr addressed the role of funding broadband operations in rural America, the challenges of workforce training, and ensuring that rural carriers have access to high-cost universal service support.

In a session moderated by AmeriCrew CEO Kelley Dunne, panelists from the U.S. Labor Department, the Wireless Infrastructure Association and Texas A&M Extension Education Services addressed the need to offer a vocational career path for individuals for whom a four-year degree may not be the right choice. AmeriCrew helps U.S. military veterans obtain careers in building fiber, wireless and electric vehicle charging infrastructure.

Broadband Breakfast Editor and Publisher Drew Clark contributed to this report.

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