Health and Media

Emerging from this crisis, we call on the federal government to act on three priorities that will get America back on its feet. With investments in broadband access, support for the creation of domestic supply chains and requirements for Congress to meet its constitutional budgetary obligations, we believe that the United States can once again find transformation in a time of crisis. First, we believe that it is time for the United States to close the digital divide and bring high-speed internet to every family, regardless of their ZIP code.

“Social determinants of health” is a hot topic among government and health system executives. The phrase usually refers to basic food, housing and transportation disparities that can lead adjoining ZIP codes to have drastically different life expectancies. But could lack of broadband Internet access also be considered a social determinant of health?

Democratic congressional staffers are signaling fresh optimism that some money for broadband will make it into another coronavirus relief package long mulled on Capitol Hill. Republicans are “proceeding politically a little more cautiously right now” in deference to GOP leadership, but “we know privately that there are Republicans that would be very supportive of spending more money on E-Rate or Lifeline or Rural Healthcare,” said Joey Wender, senior policy adviser to Sen. Ed Markey (D-MA).

We have incorporated the internet as a critical part of our personal and professional lives. This is not going to change. The COVID-19 crisis has sped us forward to a paradigm shift in which we rely on the internet to bring economic and social activity to us—rather than us going to them. Yet, tens of millions of Americans do not have access to or cannot afford quality internet service. The United States has an internet access problem, especially in rural areas. The existing program to extend broadband has become a corporate entitlement for incumbent telephone companies.

In joint letters Federal Communications Commission Chairman Ajit Pai and the Cybersecurity and Infrastructure Security Agency (CISA) Director Christopher Krebs encouraged the nation's governors to provide necessary access and resources to the communications workers helping to keep Americans connected during the COVID-19 pandemic. The FCC and CISA recommend the governors:

COVID-19 has forced the residents of many nations to shelter-in-place, either by choice or by mandate. As a result, Internet use has skyrocketed, putting stress on both fixed and mobile broadband networks. An early look at the performance of broadband networks with respect to download speeds. Using weekly speed data for fixed and mobile networks for months preceding and following March 2020, Ford finds sizable reductions in speed for several countries, but also some increases in speed.

The Federal Communications Commission in April estimated that 22.3% of Americans in rural areas and 27.7% of Americans on tribal lands don’t have access to fixed broadband with the typical speed standard of 25 megabits per second (mbps), a moderate browsing speed. By comparison, only 1.5% of Americans in urban areas can’t reach that speed. Nearly 21% of Americans also aren’t active smartphone users, according to market research.

Colorado Attorney General Phil Weiser (D-CO) led a bipartisan coalition of 39 attorneys general in urging Congress to help ensure that all Americans have the home internet connectivity necessary to participate in telemedicine, teleschooling, and telework as part of any legislation that provides relief and recovery resources related to addressing the COVID-19 pandemic. In a letter sent to congressional leaders, the attorneys general urge Congress to:

New York City is committed to the goal of universal broadband, as described in the New York City Internet Master Plan (2020). In light of COVID-related health and safety guidance from New York City and public health officials, internet access in the home has become an even more essential service, required for safe access to health care, continuation of employment and schooling, and connections to family and friends.

Senators Brian Schatz (D-Hawai‘i), Lisa Murkowski (R-Alaska), John Boozman (R-Arkansas), Angus King (I-Maine), Gary Peters (D-MI), Dan Sullivan (R-Alaska), Kevin Cramer (R-ND), and Ed Markey (D-MA) introduced the Health Care Broadband Expansion During COVID-19 Act. The new bipartisan bill directs $2 billion to help health care providers increase their broadband capacity and expand telehealth services during the current public health crisis. The Health Care Broadband Expansion During COVID-19 Act would: