I work in the Pioneer Square neighborhood (with the dark fiber in the street that I can't get access to) and live in a suburb just north of town. The telco's and cable companies have divided up Seattle's internet access map until it looks like like your viewing a kaleidoscope. It's horrible. That said, I do have a fairly stable 50/10 cable connection at work and a very stable 35/35 fiber connection at home. But those should be a 1g/100m connection at work and a 100m/100m at home for starters. Sure, we have a mayor who pays lip service to connectivity, and we have some fairly robust interconnects here with all of our high tech, manufacturing and universities but lots of other cities have those as well. What we lack is a cohesive plan to provide high speed wired (and I am talking gigabit here) and wireless connectivity to the entire city. We're still all about the public/private partnerships that lack any real impact (tiny pockets of zoom surrounded by slow pockets of doom). If Seattle is the only US city that made this list, then either this report is cracked or more likely, internet access in the USA is indeed in one sad, sad state of affairs.