In Lachlan’s blog you find the following recommendation about synchronous technologies:
“The main one that I have had experience with is Adobe Connect (AC). AC has many provisions built into it including: video, chat (typing), voice, file sharing, desktop sharing, in fact, any type of software sharing and other useful tools too many to list.
… the beauty of Adobe Connect and other synchronous applications is that even if one party doesn’t have all of the hardware to be able to speak to the other participants, they can still type in their comments in a chat box and be heard.”
(http://lachlan7.edublogs.org/2008/04/01/synchronous-communication-in-practice/)
I once try to use Skype for a presentation. The person receiving the presentation did not have a microphone in their computer and Skype did not allowed the transmission. Apart from this incident it worked perfectly and it is free. I haven’t use Adobe Connect but will be trying to use its trial subscription.