I think if its being 'neglected', than some competition should move in. Wether its cable, muni-wifi or WiMax, or even 3G cellular. If people don't like the service, they'll look somewhere else. I know I did.
I didn't take Comcast, as they were Waay overpriced ($60/month unbundled HSI, while Timewarner will do it for $45), TW took too long to take over Comcast here, so I went for DSL/SBC/ATT/DSLExtreme