I guess it depends on what one uses the internet for. Gamers and people who download alot of music or movies and such need high speed access, and folks who just browse the web and do e-mail can get along fine without it.
In rural areas where satellite is the only alternative to dialup, we miss out on some of the ordinary benefits of broadband: My Wildblue satellite service won't support voice-over-internet services like Skype or Vonage, and the "lag" inherent to satellite internet makes gaming frustrating.