In rural western Utah (and eastern Nevada) we get fiber-to-house from a relatively small broadband company. It's pricey, and they are literally the only available service (apart from satellite), but they are doing great work. A few years ago, I thought the best this <50 house town could ever hope for was DSL. I was happily proved wrong.

My hope is that there are more businesses willing to do the same thing across the US.