Here's the key point to all of this: If you only have one option for a phone company that's because it's unprofitable to serve the area you live in.
You're full of shit. I live in a wealthy suburb of San Francisco and have almost no Internet service options (which is what we're talking about in this article - Internet service). Any provider not hamstrung by regulations favoring incumbents would make an absolute killing here. Comcast has the monopoly (I don't care what you call it) on high speed Internet access in my area and has refused to do anything with it except raise prices through the roof while making my Netflix stream play like ass.
While I sympathize with my rural neighbors, I can't think of a single legitimate reason why their choice to live in difficult-to-serve areas means that I have to have shitty, expensive Internet in the heart of the world's high-tech capital.