Your example is cell phone communication. That is not the intended use case of this technology. Facebook's laser comms is part of their Aquila project, attempting to build a network of drones to supply internet.
This application works just fine with a line-of-sight constraint. At 50,000ft just about everything is line of sight.
Anyone building backhand RF links also hugely care about line-of-sight. Microwave towers carrying multi-gigabit speeds are carefully arranged for line of sight: this much improves reliability and throughput.