It has to be in this present form. You don't just email your friend directly or connect directly to Yahoo. You have to have a connection to the Internet (your line to your ISP Server). It then sends the info over various servers (the Internet) which then takes it to the servers which connect Yahoo.
You don't have I-95 outside your front door. You have Oak Street (New Crop) to I-95 (Surescripts) to Pine Street (New Crop)
I believe NewCrop seems to go down more often and SEEMS to be more regionalized, hence my going down about three days total. But, I guess that could be SureScripts.