The real victim here is institutions can no longer operate transparent caches. For example, I have seen a 800 bed hospital in a rural area get very far with a

The real victim here is institutions can no longer operate transparent caches. For example, I have seen a 800 bed hospital in a rural area get very far with a relatively weak (but best it could get) Internet connection by having transparent caching. Colleges with dorms, even in non-rural areas safe huge amounts of bandwith this way too.