Satellite wide-area-network for telemedicine

Communications for Telemedicine requires substantial bandwidths to provide timely transmission of large data sets. To provide rural America with modern Telemedicine requires very high bandwidth resources that may take decades to appear. Satellites provide the natural choice for communication between the rural primary care centers and the tertiary care hospital. However there are problems if TCP, as required for Internet access, is to be the protocol of choice. Analysis of multi-station satellite access clearly argues for distributed non-random methods and hence for appropriate handling of TCP data streams.