Like osravens said you are lucky to live in a section where you have that option. Millions of people do not have that option and its a big deal. You don't realize it because you don't live with it every day.
Cable or DSL/Fiber pretty much if you are lucky. He said monopoly when it's actually a duopoly in most areas. Are they really that much different? In both cases the consumer gets screwed. No competition = higher prices and or bad service. To compare wireless or satellite service to a wireline service like osravens said is absurd.
In my area we either have AT&T DSL (Upgrade our lines?? I love copper, please leave it in my yard forever), Clear (please throttle me??), Satellite (I'm still waiting...) or AT&T/Verizon/Sprint/Tmobile wireless (Caps? I don't need to eat).