Service will change drastically
Unless something changes big time, in the not too distant future non urban (and even some urban areas) will have 3rd world level telecom services. Verizon has made it clear that they want to collapse the company to within their FIOS footprint where there will be skyrocketing rates done in collusion with the local cable companies. Rural, suburban, and some urban areas will be left with a copper plant that will be neglected or sold off to companies that will not be able to maintain service much less expand service.
The government needs to step in at this point. Even taking into account the government efficiency penalty, it would still be a far better option than the corporate neglect that awaits us otherwise.