It is better than it was; it is faster now. As I see it, the problem is still the costs for users, which are clearly higher than those in Vancouver and elsewhere. For example, no plan offers unlimited access to the Internet. Access is limited. The more bandwidth you want, the more megabits, I forget what it is called, the more it will cost you.
It could all be faster. A videoconference at peak times may or may not work well. The same goes for Skype. It really could be better.