Verizon was driven to deploy FIOS by the rabid competition it faced from cable TV companies that operate in their service area. Something tells me that Qwest is either not feeling any competitive pressures from cable companies operating in its service area, or is choosing to ignore it.
Qwest is in Spokane. Comcast is the only Cable Provider to consumers. DirecTV and DISH Network are the direct competitors to Comcast on TV Services.
I bundle Qwest ADSL with DirecTV. Qwest manages the bill.