I live in a rural area myself( in Haralson County, Georgia). Our only real option for internet? Verizon Wireless. Ironically, we had to get a data device so that my wife could work from home, which AT&T Wireless required of those in her position(though, I know many others work from home, too). You might ask, "why didn't you get a AT&T Wireless data device?" Yeah, Hell no! Back then, just before Verizon Wireless switched the nearby towers to LTE, AT&T was still EDGE-only. That and the coverage gap was, and still is, ridiculous and horrid.
My wife and I built a house together, which sits on 10 acres of land, surrounded by hundreds of acres more of land her family still owns. Regardless, there are far more people that live just on our road that most people I have ever discussed this issue realize, which tends to confuse them as to why AT&T doesn't offer Uverse, or even a low-end, "good luck getting it to work" DSL plan. This summer will be 10 years since we built our home, and I couldn't be happier, save for being ripped off by one company (Verizon Wireless), and completely ignored by another(which employs my wife, AT&T Wireless).
What do I mean by "ripped off"? Well, at $80 a month, for 10 GB of data usage, plus $10(all in USD, to be clear) per 1 GB over the allotted 10 GB. Oh, and I never got to enjoy the fucking luxury of paying "only" $80 a month. On average, we were paying $1200 to Verizon Wireless, for far less fucking data usage, on average(usage per month, stats that are now, at the very least, to years old), for a home with 2(possibly 2 to 4 occupants; I can't recall, at the moment, how the number broke down on that part) occupants. Our monthly Verizon Bill was never below $1,000 a month, and very little(a few hit of Slashdot, and a couple of emals...maybe) was actually utilized towards our own enjoyment.
Our telephone number's NPA-NXX originates from one of the small towns in our county(Tallapoosa, GA), but, apparently, our physical line originates from a central office in another town(Buchanan, GA). Tallapoosa has had Uverse available for a couple of years, at least, and Buchanan only has, last I checked, DSL available. Though, even if we weren't just over four miles from two of the three central offices in Haralson County, the load coils that still exist on the telephone lines out here(this according to a line tech I talked to, while he was out here working around two years ago) makes the discussion rather academic, at best.
This whole damn mess has pushed me seriously consider taking matters into my own hands. I am going to get a second SDR board(I have one transceiver board already), and setup a point-to-point solution myself. If the FCC doesn't like it, the whole agency can fuck off. Those assholes avoided handling the situation, and has lead us(my wife and I) and a number of others to chip in a support a few Verizon executive's cocaine and hooker habit(while I say that in jest, it isn't funny that I have been paying what amounts to a rather nice motor vehicle loan payment...for fucking internet access).
I would add that the states are co-equal to the US government, and are both sovereign entities(in the legal since; no government entity in the United States, on any level, has any rights whatsoever. Said entities only have limited authority, given by the citizenry. Legal sovereignty assists in protecting each side, especially the states, from being dissolved by force or legislative fiat. Local(city, county, or a combination of both) governments have no such powers(that is authorities, not rights), and exist solely because the state allows them to exist(save a small number of exceptions).
I say all of that to say that the states need to tell all within the US Government to stop reaching into state matters, or attempting to obtain more unauthorized power. I mean, those guys keep screwing up as it is; more power will only make things worse.