I had thought there was a company in Charleston that already offers fiber to business. There was also a story about a company building a fiber network in Beckley.
I agree with the above poster, most people don't realize how difficult WV is. Having said that, I think Suddenlink has done a great job in keeping us competitive with other states (we can get 100+ mb down). It is just difficult to reach everyone in our state though.
In regards to the future, I guess it depends on how well the new DOCSIS standards perform and how important upload speeds will be.