Clouds, rain, atmospheric density variations, interfering signals and noise sources, phone positioning, the attenuation and reflections from nearby materials...
Also, don't forget that the SpaceX announcement was for a max of about 4 Mbps for an entire cell which they said was a very large geographic area. It will also be asynchronous short message (text) for quite a while. Next time I am backpacking in Canyonlands it will be great to have, but it will have very little impact on the vast majority of phone usage for quite some time. Its a small but important step.