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> I want surgery over IP. I don’t want surgical packets treated the same as a YouTube packet.

Do you really think these two statements are at all related?

Then buy a dedicated line with SLA's and such in writing. I don't understand how people don't understand this by now.

You definitely don't want surgery over the Internet - what happens when someone slices through your local fibre cable, for a start? Think about what you're saying.

You can pay for lower latency on your end.