I used to live 8 miles from Madison, WI (technically, one exit south of their beltline interchange on I-90). My ONLY two choices were 2mb WISP for $65/month, or 4g hotspot, and all of them were VERY expensive for over 15GB a month. (I used about 20GB per month on the 2mb wisp because I had little kids who loved netflix cartoons, faster speed would also cause higher quality video)
There was NO cable or dsl. ATT always said DSL was available in our area, and that they would schedule the install, then 3 days later, the local guy would call, and say "oh, hell no, lol" and cancel it