Where I am located, we have found that the traditional point to points work well but thier are to many hops. Ethernet connections are the way to go less hops and extremely fast, with burstable bandwidth on demand. The only problem is that these companies are dropping like flies, and they may shut down in the event that they are not purchased soon enough. One other thing is the availability is not as great as the traditional t-1's and it may be big bucks for them to build out to your location, but all in all this is where it is all going. IMHO
Cheers,
Comp