Repairing becomes a different kind of nightmare.
Local municipalities establish de-facto monopolies and drive prices up, because they offer slightly faster and stable lines.
There is a joint effort by local utility companies in Mecklenburg and they’re trying to make things better, but anecdotally are also challenging to deal with.
My now residence here in the UK is not really rural and for years Giganet/CityFibre/toob promised gigabit soonTM for years and the date got delayed and delayed and delayed.
There is a common case of excessive bureaucracy and extremely conservative population (thank you, low birth rates) which is hindering any significant development in the country.
Downside is: a drunk guy in a truck is all you need to tear it down, not to mention natural disaster influence. And it's unsightly AF.
Yes, it's fast and cheap. That's how we got the situation that a backwater village in the midst of the "anus mundi" of Romania has XGPON for a few dozen euros a month, while you're lucky to get anything above 50M VDSL in Germany outside of large urban areas and 200M VDSL in urban areas.
But holy hell it's an eyesore to be in said village in Romania, look out the window and look at a bunch of fiber strung not even from a proper pole but from a tree. Takes the German expression "Kabelbaum" to a whole new level.
The bigger issue over the last 5 years in the area where my company operates is the number of dump trucks that leave the bed up. Given the weight of dump truck it is easy for them to pull down multiple poles when they catch the cables, although perhaps they are drunk drivers...
Google Fiber wrecked entire city streets relearning these things the dumbest way possible (then left the street repair bills to the us the taxpayers, because of course they did).
That's what you get with arrogant and ignorant large bureaucracies, anywhere, anytime :-)
OTOH, considering how well the 'megabit-chip' went, I'm wondering wtf they'd do with fiber, at the times? For the military, agencies, ministries and some universities maybe, but for the masses? How common was the 'stinknormales telephon' in households, back then?