Yes, that's why the US has the most absurd cell phone network even while I sit in Silicon Valley, but I don't have reception in a half dozen places during my commute, or in my home.
Why I pay absurd amounts more for my healthcare, even when I can choose between several different insurance companies.
That's why my power in a massive center in California is completely unreliable here, I've experienced more power failures in the past year in a major city than I did in 30 years in the middle of fucking nowhere Canada.
Because competition makes it work.