Only recently did my unincorporated area get fiber. Prior to that, it was cable, period (too far from the DSLAM), and Time Worthless sat on their hands for six weeks until I wrote a complaint letter to the FCC and got released from my contract (to be fair, they never charged me, they just didn't do any installation).
So since I needed a hard line for my home servers, I gritted my teeth and bought a T1. It's still incredibly exorbitant, and ironically comes to the house over HDSL, but I have no caps, no questions, no latency and no neighbours encroaching on my DOCSIS timeslice. Plus, it's tariffed and has an SLA, so I'm always referred to level 2, and any issues get fixed the same day. The downside is it's still just 1.5 both ways and it required both phone pairs to the house (one for tip and one for ring). It turns out I don't miss having a landline, though.
Fiber came in January of this year. I'm still on my T1 contract, but I'm not sure if I'll switch. The level of service I get is very good and I know I can always count on the bandwidth. Haven't decided yet.