My office is "in the city" in Adelaide, a city of 1.25m. Our only reasonably priced option is 12Mbit ADSL2 (which is about 0.8mbps up).
We can get 100mbit fibre for $1000/mo, plus cost of installing the fibre.
We can get 12/12 DSL for $300/mo.
As an app developer, I am often unable to upload anything to iTunes Connect without saturating the link and it timing out. The only feasible option is paying a premium for 4G/LTE speeds on Telstra.