In my town, only about 25% of the residents have access to DSL. We don't have cable out here (if you want more than 1.5 channels, you need satellite TV), so it's satellite internet or dial up for internet if you're out of range of the DSL building.
DSL has only been in town for the last 4 years or so, and it's still only available to a small portion of the town. That's small town New England for you, though. I'm only glad I've got DSL available...dial up makes me anxious.