There are some communities here in the U.S. that are rolling out their own fiber at affordable prices, but AT&T, Verizon, and Comcast don't look kindly upon those sort of projects... and the truth is none of those big companies has taken the initiative to make a real difference regarding this issue. They waited too long to work on improvements.
They were thinking of putting fiber in Chicago some years ago. The idea sounded good:
But it never took place and I'm not sure if it ever will.
We can't trust AT&T and the rest of the gang to take care of this issue. I believe that for any real change, the government will have to do something. Recently, Google was also trying to create awareness, not just about the speed issue, but also availability. There are still areas that don't have access to decent high speed internet.