Health and Media

South Carolina is expanding access to telemedicine — or, put broadly, health care done via the internet. This virtual way of seeing a doctor or managing health is seen as a solution to deteriorating health care services in rural parts of the state. SC’s government has spent $68 million in one-time commitments since 2013 on telemedicine. But it’s no secret that progress is stunted if people don’t have internet access. Some 537,000 people in South Carolina don’t have an adequate internet connection at home — about 11 percent of the state’s population, and 26 percent of the rural population.

The funding year (FY) 2019 application filing window for the Rural Health Care Universal Service Support Mechanism (RHC Program) opened on February 1, 2019 and will run through May 31, 2019. To assist eligible health care providers participating in the RHC Telecom Program as they compile their applications for FY2019, this Public Notice provides guidance on complying with program rules, including the FCC’s rules for determining rural rates.

The question we face in the digital age is not how to have it all, but how to maintain valuable activity at a societal price on which we can agree. Just as we have made laws about tolerable levels of waste and pollution, we can make rules, establish norms, and set expectations for technology.  Perhaps the online world will be less instantaneous, convenient, and entertaining. There could be fewer cheap services. We might begin to add friction to some transactions rather than relentlessly subtracting it. But these constraints would not destroy innovation.

Two years ago I wrote that community broadband builders have two options for network deployment: they could use the problem-solving approach or the creation orientation approach. The problem-solving approach is typical when people deal with the government. The goal is often to make something go away.

A bill in the North Dakota Senate would require patients to do a video or in-person examination for their initial visit with a telemedicine provider. In 2017, the North Dakota Board of Medicine drafted a rule that would require a video exam or face-to-face visit for the patient's first telemedicine appointment. But the rule was shot down by the state legislature's Administrative Rules Committee in March. Committee members stated that the rule was "arbitrary and capricious," according to meeting minutes.

The Department of Veterans Affairs has been aggressively implementing telehealth services. And at the Federal Communications Commission, we’ve been working to seize the opportunities of connected health for all Americans, including veterans. So it’s fitting that we gather this morning to reaffirm our shared belief that telemedicine can improve the quality of health care that our veterans receive. We can’t realize the promise of telehealth without connectivity. This is one of the reasons that, since day one as FCC Chairman, my top priority has been closing the digital divide.