Abuse of position goes hand in hand with government granted monopolies. How can a business abuse their position when people voluntarily agree to buy from them? You're defending crony capitalism and then declaring that capitalism is broken.
The goal with these rules is to make sure being wealthy isn’t a prerequisite to having access to communication services. If we didn’t have these rules, forget about broadband in poor neighborhoods (much less rural areas).
Edit: capitalism overall isn’t broken; but it is broken in some industries with unique market features (health care, telecom, etc). I don’t think it’s a contradiction at all to have some industries more or less socialized while maintaining a capitalist economy overall...
As for me, I find it interesting that the most regulated industries always tend to be the ones that are the most dysfunctional. Your example of health care is a perfect poster child.
Health care needs to be more or less socialized — the sales pitch for any non-emergency medical procedure is effectively “pay me or stay sick / die”. There is no way to price discriminate that maximizes profits without introducing moral hazard by withholding treatment from people who can’t afford it.
Now you say, "Hey guys, allowing people to not be medically treated is immoral, so let's force people to provide a service because that is totally moral."
In both scenarios, you're trying to argue for something but you're not being consistent with your logic. You're picking and choosing data points and circumstances without being consistent across the board.