While something like dial-up might mostly be a thing of the past, the truth is copper phone lines still connect a lot of people to the internet over DSL. And even many people’s coaxial cable connections aren’t fast enough to meet the federal government’s definition of broadband (25 megabits per second download speed, and 3 megabit upload). Who gets fiber is determined by the market, and the market is determined not by who wants fiber, but really just who can already afford it. So for a lot of the country, the last mile remains a deep and vexing problem. Different cities have tried to solve that problem in different ways.

Support for this episode was provided by the Robert Wood Johnson Foundation, which is committed to improving health and health equity in the United States. In partnership with others, RWJF is working to develop a Culture of Health rooted in equity that provides every individual with a fair and just opportunity to thrive, no matter who they are, where they live, or how much money they have.

The Future of the Final Mile