Earlier quoted context omitted.
In Germany, with Unitymedia Buisness, I get symmetric 100Mbit/sec over coax (even in mid-size cities), a static IPv4 adresse and excellent customer service. Price tag: 35EUR/month.
Canada. 100$/month for 150down/12 up residential. Never seen more than 50 down. Regular outages (for 30min every few days). If the US is third-world in terms of service, canada is an uncontacted amazon tribe.
If you are in a major city, it might be time to check the other ISP in town. I'm glad I did.