Yes as a comparison, I recently moved from Australia to the US. Similar sized city in both countries (~400k people).
In Australia I had a choice of ~30 ADSL2+ providers at up to 24/2 Mbps (down/up), plus around 4 or 5 VDSL2 providers offering a guaranteed 60/15 Mbps down/up. In each case the physical line the service was provided through was the same line, owned by the main telco, but many different providers could offer service over it.
In the US I have a choice of precisely one DSL provider at 6 Mbps/768 kbps down/up (ick), and precisely one cable provider who offers 60/4 Mbps DOCSIS3. Obviously I choice the cable provider. Thankfully they seem quite decent and I'm getting the advertised speeds. But if I had an issue with them ... I'd be screwed, since there's no other choice.
Cost was approximately the same in both countries. The US ISP has a nominal 300 GB cap but I don't think they enforce it. The many Australian ISPs I could choose from offered various plans with a range of caps: effectively pay more if you need more, pay less if you don't need much. For the same price as the US ISP I could get a 300-500 GB cap in Australia so it's basically comparable.
I was fairly lucky in Australia having the access to VDSL. A lot of people are stuck in areas where ADSL2+ is the top option. But even then at least you usually had dozens of ISPs to choose from. In America there's usually just 1 option per technology (i.e. one DSL, one cable, etc.)