There are several options to consider when selecting an Internet service.
DarkHorse recommends "always-on" connections, such as DSL or cable, that provide fast upload and download speeds at reasonable prices. "Always-on" connections can be networked through your practice, improving Web access for all users. Satellite connections are compelling for rural practices where there are limited or no alternatives.
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56K Analog Modem — The 56Kbps type of connection is a dial-up connection. This means that every time you want to connect to the Internet, your computer must dial an access number. The main advantage of the analog connection is cost. This type of connection is inexpensive (typically $20/mo.) and requires no installation. The main disadvantage of this connection is speed — the connection is slow, so downloading and uploading data and images can take a considerable amount of time.
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ISDN — This type of connection is also a dial-up connection, offering 128Kbps speeds in both directions (upload/download). This represents roughly twice the speed of the 56K modem connection. This type of connection is more expensive than other connections, and does not provide speeds comparable to the Internet connections listed below. You can expect installation charges of $300–$500 and monthly charges of $100/line.
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DSL — This type of connection is "always-on," requiring no dialing of access numbers. DSL utilizes existing telephone lines, but it is not available in all areas. DSL service is expanding rapidly and offers 300–600Kbps upload speeds and up to 1500Kbps download speeds. Typical monthly costs range from $40–$100/mo. For information regarding DSL availability in your area, please visit www.dslreports.com or call your local phone company.
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Cable Modem — Cable modems also feature an "always-on" connection, but speeds are not guaranteed (although they are generally comparable to DSL speeds). Cable Internet connections are shared connections, and upload and download speeds are determined by how many users are connected to the cable switch at any one time. A cable Internet connection is a good option, if available. Installation costs are minimal, and cable service is available in most metropolitan areas. Monthly costs typically run $30–$40 per month.
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Satellite — Satellite is now a compelling alternative when DSL or cable Internet connections are not available. The satellite alternative also offers two-way high-speed Internet access that is "always on." The primary advantage is its availability virtually everywhere. Installation costs range from $600–$900 per unit. Monthly costs range from $70–$90/mo. For more information regarding satellite service, please visit www.StarBand.com or www.earthlink.net |