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The way choice works is that you choose to live where your preferences are maximized. My sister chooses to live in a rural area for a number of reasons. Her trade off is that she doesn't have easy access to many things common in a urban area. I'm a city boy. I like having access to a wide choice of things - restaurants, supermarkets, bookstores, etc. Fast internet is important to me, so I live in a place where I can get 100 mbps internet and can choose between four or five providers.
In the USA, most people do have choices. There is always satellite. Business service is indeed a choice. You may not like how much you have to pay for it, but it's a choice. Heck, if you have a telephone line, then you probably can use dial up. I'm pretty sure there are still dial up providers out there.
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