<<April 3, 2000>>

Demetri Heliotis
Federal Communications Commission
1919 M Street, N.W.
Washington DC 20554

Dear Mr. Heliotis:

(1)  Many thanks for your phone call a few minutes ago.

(2)  As for the use of satellite for telemedicine, pls visit;


     This is about Medical Information Network by Communication Satellite for
     University Hospital (MINCS-UH).  This connects about thirty university
     hospitals around Japan with two-way, broadband digital satellite
     channels for medical diagnosis with HDTV -- return for question uses C
     -band analog channel simultaneously.

     This is a very expensive system -- total $100 million -- including about
     $1.5 million for equipment at each site.  The usage rate is only 3 to 5
     times (with 3 to 5 hours per each) during a month.

(3)  We are now start working to construct a global private virtual network
     of broadband Internet, in order to have similar high resolution images
     as MINCS-UH, but which can be economical sustainable by cost-sharing
     with global distance learning and with community development approach.
     This is to be financed with Global Service Trust Fund (GSTF) which is an
     emulation of the Federal Communications Commission's Universal Service
     Fund.  However, the GSTF is especially to cope with the congestion of
     Internet backbone across national boundaries and oceans.

(4)  We held a highly successful International Workshop and Conference on
     "Emerging Global Electronic Distance Learning (EGEDL/'99)" from August
     9th to 13th at the University of Tampere in Finland -- see
     <http://www.uta.fi/EGEDL> for the compilation of the conference materials.

(5)  During this workshop, a telepresence demonstration with echocardiography
     was performed by the Presbyterian Hospital of Columbia University in New
     York.  The echocardiograph image (*) of a patient on a tread mill was
     sent to the Presbyterian Hospital for diagnosis with PictureTel via ISDN
     at 384 Kbps.  The images were disseminated to the participants around
     the world via ISDN and Internet -- since there aren't many locations
     with broadband digital satellite yet, we used ISDN.

          (*)  We will add a 3D image of his heart as an upgraded feature,
          which can be cut into a half to examine its inside, during our
          workshops in Manaus, Amazona, Brazil on May 31, June 1 and 2, and
          at the University of the Philippines in Manila in this coming summer.

          Pls visit <http://www.uta.fi/EGEDL/> and click Roger Boston's web
          in the home page of this site.  Then, click August 9 in the left column.

          You can then click Telemedicine1 and Telemedicine2 at the top of
          the right-hand side column to view video clipping of our
          echocardiograph demonstration with Presbyterian Hospital of
          Columbia University in New York with PictureTel via ISDN at 384 Kbps.

          In this home page, pls also click "FINAL REPORT OF THE
          CONFERENCE."  Then go to "IV. Compilation of comments:" in PART I.
          Then click Shin Takuma on October 8th.  You can then find Dr.
          Takuma's (Presbyterian Hospital) report of this demonstration.

(6)  Our reasons of having this telemedicine demonstration are;

     (a)  We promote tele-learning and tele-health/tele-medicine in global scale,

     (b)  Tele-learning and tele-medicine need to be two wheels of a cart
          for economic sustainability, since each alone cannot be sustainable,

     (c)  Future of tele-learning and tele-medicine require broadband
          Internet which need huge investment,

     (d)  Demonstration of echocardiograph with full-motion video (and 3D
          imaging of human heart) is appropriate for opening eyes of
          decision-makers for the value of broadband Internet,

     (e)  Although the operation of echocardiograph machine can be done by a
          nurse, the diagnosis of its image requires expert medical doctor
          with 7 to 8 years of accumulated experiences,

     (f)  If this demonstration is successful, we can expect its regular
          usage for humanitarian purpose with economic viability.

(7)  We are now forging ahead to establish a Global University System with
     global broadband Internet which are to be financed with Global Service
     Trust Fund (GSTF).  Pls visit following URLs for more information;

     (a)  Global University System:

          In the left column of the web site <http://www.uta.fi/EGEDL/>, pls
          MATERIALS section,



     (b)  global broadband Internet:


     (c)  Global Service Trust Fund (GSTF):




(8)  Other Reference web sites are:

     (a)  GLOSAS/USA


     (b)  Global University System: Asia-Pacific Framework:


     (c)  Manaus workshop:


Pls feel free to contact me if you have any further questions.

Best, Tak
* Takeshi Utsumi, Ph.D., P.E., Chairman, GLOSAS/USA                  *
* (GLObal Systems Analysis and Simulation Association in the U.S.A.) *
* Laureate of Lord Perry Award for Excellence in Distance Education  *
* Founder of CAADE                                                   *
* (Consortium for Affordable and Accessible Distance Education)      *
* President Emeritus and V.P. for Technology and Coordination of     *
*   Global University System (GUS)                                   *
* 43-23 Colden Street, Flushing, NY 11355-3998, U.S.A.               *
* Tel: 718-939-0928; Fax: 718-939-0656 (day time only--prefer email) *
* Email: utsumi@columbia.edu;  Tax Exempt ID: 11-2999676             *
* http://www.friends-partners.org/GLOSAS/                            *

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