said by Ahrenl :

Fortunately the entire discussion is framed around the internet service pipe. (or tube if you like ) If Verizon and AT&T would like to setup a separate service just for hospitals, and separate service for games, then more power to them.

said by backness :

doesn't that limit access to companies with a billion dollars to good speeds on the net? What about small and medium sized businesses (which are the heart and soul of America and out number large corps by a large margin) your solution leaves them having to pay extortion to the already rich for their services