The Communications Workers of America have released Speed Matters: A Report on Internet Speeds in All 50 States.
Here's an excerpt:
The median download speed for the nation [the U.S.] was 2.3 megabits per second (mbps). In Japan, the median download speed is 63 mbps, or 30 times faster than the U.S. U.S. also trails South Korea at 49 mbps, Finland at 21 mbps, France at 17 mbps, and Canada at 7.6 mbps. The median upload speed from the speedmatters.org test was just 435 kilobits per second (kbps), far too slow for patient monitoring or to transmit large files such as medical records.