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Actually it is a thing in the us.

[cbozeman]

I don't know why you're being downvoted...

Utah has multiple 10 Gbps up / down providers ranging from $170 - $249.99.

Chattanooga, Tennessee has EPB that does 10 Gbps up / down for $299.99.

Lafayette, Louisiana has LUSFiber that does 10 Gbps up / down for $295.95.