"Rural" Texas (about an hour from a big city) and the only thing we have available is ADSL at 10/1 mbps on a good day. I'm paying $65 and as long as we don't stram 2 things at once it works!
You could look into forming a community ISP. Its often easier in rural areas because in cities the big telecom companies already own all the infrastructure needed to lay cable, in the country there's less red tape. Some guy in Michigan did it for himself and his neghbors then expanded to a few hundred people.
I heard about that one, very interesting guy. I'm not sure if I could get away with something like that in Texas. The state likes to say its pro business and free, but reality says otherwise.
We're about to get out of here permanently anyway and move west towards even less internet access in an even more rural area. I may have to start looking into IPoAC next!