I've never watched much TV as an adult, and only had cable when my roommates wanted it in college. However, there are a few things I want to watch sometimes, and it's extremely frustrating to try to find one to three services that will allow me to watch those few things at a reasonable price.
If I watched more than this, I think it would probably be simpler and cheaper to just get cable or satellite.
I suspect and hope that one day the shakeout that's happening now will be resolved, and real a la carte service will be available.