Skype has encrypted video on top of a voice and chat service. You can find out more about the service at Skype's website. There is some additional information available on security in a peer-to-peer network.
iChat provides an encrypted video conferencing service if you subscribe to the .Mac services. It also includes encrypted instant messaging and the iDisk network drive, which can serve as a secure shareable file area. You must use a ".Mac" account to be secure and HIPAA compliant. You can find out more about the service at Apple's website. (Scroll to the box that says, "Chat Safe with .Mac")
iChat is only available on Apple Macintosh systems.
Call me if you would like more help with this. 888-792-2858.
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