Also one needs to count the cost of recovery of more than just your database. A server failure usually means an install onto a PC to keep the site working, having to reconfigure all clients, then a repair of the server and doing it all over again. We seem to run into an average of one of these per year and the time taken has been over 20 hours in tech time on each occurrence (each has been large, Active Directory domains). To avoid this kind of recovery we're starting to insist on nightly snapshot backups of the entire server to a removable hard disk as part of the backup strategy, and allow a machine on-site that has similar if not identical hardware to the server. This will ensure that in 90% of failures we can have the site back up and running very quickly.
Peter,

I had some registered DDR RAM fail in my then, 4 doctor practice last year. I assume this fulfils your criteria as "server failure". I put in place the machine (a then, 2 year old dell laptop with a 1Gb of RAM) that I used to test my backups. To restore the most recent backup of BP (4-5Gb uncompressed database) took about 30min. To restore the PS2 backup took about 10 minutes. Each workstation was able to "find" its instance of sequel server with about 10 minutes of friggin about, per workstation. Ran that way until determined the cause of the server failure and I sourced and installed new RAM. Bit slow. No actual functioning network but it actually work for Electonic Health records and Practice Management Software. My accounting software is not on the server
Had new RAM within a few days and everything was put back the way it was.
I learnt a few lessons and I now use a much better machine for testing backups as well as my laptop. I am considering NAS and more frequent server backups, but think that in an emergency scenario, that will not be the quickest way to get the practice up and running My point is that in the case of "server failure" my down time was about one hour. I did this without external tech support. I did it without an expensive spare machine that is similarly configured to my server (Twin Xeon 3.6Gb, 2Gb Ram and 2 mirrored SCSI HDD's. Intel Server Mobo and Intel RAID Controller. I think practices need a better solution in event of crises, than ringing their computer support company. (and yes I do have one of those as well. They were the ones who sourced the RAM).

Gary

PS. If anybody can point me to some drivers for Yellow Dog Linux to run a wireless keyboard and mouse on a PS3, I would be grateful (and my wife will stop telling me off for the cables in the lounge room)
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