The drawback is that cable it is a shared medium, so it can be quite bad when demand is high (in the evening) and the upload bandwidth usually is very low.
We moved back to NL and have 1GBit fiber, and there has been a short outage once in three years. I know that there are a still a lot of addresses without fiber, but when I last checked the stats, about 50% of the addresses has the possibility to get a fiber subscription. Heck, even my parents who live in a small rural town have fiber.