I watched the first season a while ago, and was shocked how badly some small businesses are run, and somehow they stay in business for years. And then the owners often fight to keep them in the crappy state for no good reason.
Where competition is absent, you don't need to cut the fat.
So long as the cable company can raise your rates every year, reducing truck rolls will always be "too expensive". If those truck rolls come out of the bonus of the CEO on the other hand, they will get down to the root causes of why so many truck rolls.