When I bought a home, I limited my searches to ones that had symmetric fiber connections.
Wife wanted to live out here. So we traded my being able to work easily for amazing views and lots of land. Not entirely unhappy with the trade, but there are days when I think about just renting an office in town. (30 minutes away).
Unfortunately, the cable company usually offers some ludicrous 500mbps (burst) download / 5mbps upload connection that people are willing to accept for cheaper, so if the phone company comes in and pays to install fiber and charge accordingly for the new fiber runs, insufficient people would switch to the fiber to make the numbers work since they are okay with the shitty cable company connection.