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I don't understand why this model isn't used by eg Verizon on the east coast.
In suburbs, this model is more tricky.
Have you ever been to the US east coast? Do you actually think that a substantial portion of the population in Verizon's territory lives in MDUs?
More to the point, are you so naive as to think that Verizon hasn't modelled, analyzed, confidence tested and analyzed again their opex/capex model for all kinds of architectures?
What is it about this topic that brings out all kinds of people with opinions but no facts?