So Fring lets you do video calls via their Skype connection. The software is free so it’s worth trying out.
I could still be filming where I am while watching their face (or whatever their camera is pointed at) so it seems silly to me. Or send my video when I’m talking (and vice-versa).
The other downside is that it only works over over WiFi, not cellular (no surprise there) another reason to consider a MiFi instead of paying AT&T for tethering.
Here’s the direct link.
Two other things:
If Apple has the API open, it seems like they could check the sensor that detects if the phone is near or away from you (the one that checks if the phone is by your face and turns the screen off) and figure if the camera is facing you or away.
The Fring App uses my BlueTooth headset (which also does A2DP) for sound effects but when a call starts it only uses the regular phone part.