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.
From my experience, at least in Munich it's hit or miss which of the 2 cable company services your building - it's not even on the street level.
Also I'm not really complaining. Say what you will about Deutsche Telekom, but I've been a happy customer since 1998. Everytime I had a different ISP (mainly M-Net) I had more problems than uptime. This is more expensive, but I'm having less than one noticeable downtime every 2 years...
In US, I have access to the same plan at same price point. But I have a semetric 1000Mbps for 85 USD. I can get a static IP but I see no need with DNS. Not sure how the customer service is, I haven't called in 2.5 years that I've had the link.
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.