It's kinda late in the discussion, and some of the points have been covered, but a similar question came up on the CIsco board and this is the answer I posted FWIW:
A T1/DS1 (to the Internet) is not as expensive as you suggest. I've seen ads & promotions for as little as US$350.00, though typical is probably in the $500-600 dollar range.
For a straight-up T1/DS1 point-to-point connecting two point in the same general geographic area (like Metro Chicago), you can probably get it for $100-$300.
What you get for the money, in addition to the (usualy) reliability is a "Service Level Agreement" (SLA) that frequently guarantees 99.99% or more uptime, occasionally some monitoring (initiation of repair without the end-user having to call 24X7X365), and some flexibility on the service (HDLC, Frame-Relay, ATM, MPLS).
You can also bundle T1s for additional bandwidth using something like IMA or Multi-Link Frame Relay (MLFR) ... some folks even use MLPPP.
Huge bandwidth doesn't matter if it's not available, or is not reliable. When the business is on the line, "reliable" wins the vast majority of the time. It's just part of the cost of doing business.
Certainly there are "business class" DSL and cable services, complete with SLAs, and their use appears to be growing. Generally speaking, you can get a T1/DS1 to any location ... it's repeatable.
DSL, even with "Remote Terminals" still has some distance limitations, and may not be cabable of having multiple DSL signaling in a single cable bundle; i.e., even though you have at least four pair of conductors in a phone cable, putting four DSL lines on that cable may cause interference between the lines.
Cable broadband may be extendable to the extent that T1/DS1 is, but it's carried on fiber and coax .... which may or may not exist to, and near, the end-user's premises.
In nearly all cases, some copper (ala phone lines / T1-capable copper) is usually alreadey available to the premises.
Adding media to the site is usually an additional cost and would add to the overall cost of implementation.
I"m sure thre are some other considerations; overall, much will depend on where the site is located, distance to the CO, available media, how critical the circuit is to the business, etc.
Hope this helps
Good Luck