You have to think bigger. Half the people on this planet have net worths measured in the hundreds. What is a cent, or a fraction of a cent to you is enough to buy a coffee, or lunch in another country - a country where Bitcoin adoption will be more rapid and ubiquitous, because its utility and value far outstrips their national fiat currency. Dust payments are everything.
Well looks look at those people. It is unlike Bitcoin will take off anywhere that doesn't at least have SMS cellphone capabilities. This means infrastructure, critical mass of users with cellphones and some "Bitcoin" provider to offer a Bitcoin over SMS service.
The closest fiat equivelent is mPESA and usage has exploded because it allows small transactions and "reasonable" cost.
So lets compare mPESA & Bitcoin fee and tx minimums
http://www.safaricom.co.ke/personal/m-pesa/m-pesa-services-tariffs/tariffs1 Ksh = $0.012 USDs
mPESA
Min transaction: 10 Ksh (12 cents US)
Fee on min transaction: 3 Ksh (3.6 cents US)
Fee as a % of transaction: 30%.
Bitcoin (note this is just protocol cost, a service provider may add additional fees)
Min transaction: .0543 mBTC (0.5 cents US)
Fee on min transaction: 0.05 mBTC* (0.5 cents US)
Fee as a % of transaction: 100% * (see footnote below)
Now lets look at Bitcoin & mPESA at various transaction sizes.
Transaction amt mPesa Bitcoin Fees %
10 Ksh ($0.12) 3 Ksh 1 Ksh 30% 10.0%
50 Ksh ($0.58) 5 Ksh 1 Ksh 10% 2.0%
100 Ksh ($1.17) 5 Ksh 1 Ksh 5% 1.0%
200 Ksh ($2.34) 27 Ksh 1 Ksh 14% 0.5%
500 Ksh ($5.84) 27 Ksh 1 Ksh 5% 0.2%
855 Ksh ($9.99) 33 Ksh 1 Ksh 4% 0.1%
(In case it isn't clear, 10 Ksh transferred is roughly $0.12. It has a 3 Ksh fee on mPESA network (30%) and a 1 Ksh min fee on the Bitcoin network (10%).
I think Bitcoin will be just fine for emerging markets. While SMS based service could be 100% on blockchain it is likely that such a service would be off blockchain or possibly a hybrid where users keep large amounts on blockchain and transfer it into an on blockchain account to allow lower cost small transactions. mPESA to my knowledge is the electronic payment network with the smallest payment option although even there amounts under 100 Ksh ($1.17 USD) are excessively expensive. mPESA is the most popular electronic payment network in Africa and Bitcoin is still cheaper at all transaction levels. The min tx size or blockchain fees aren't the limitation of adoption in emerging markets.
*This is the reason for the dust threshold. Fees are based on the output being spent and are per KB and one can get at least two inputs and two outputs (payment & change) under the 1KB thus the fee per output being spent is roughly half the min transaction cost (0.1 mBTC), thus transactions smaller than half the current min fee do not make economical sense. Not sure why Gavin felt the need to have so much precision (5430 Satoshi) for the default value. Would be easier to just say 5000 Satoshis (0.05 mBTC)