I'm always surprised that more people don't just use antennas. For truly local channels, it's generally going to work and be a one-time cost to get things going instead of a monthly one. Plus (if it matters to you) the video quality will generally exceed getting the channel via most other methods.

As you mention, some situations may not have reception due to special circumstances--and for them, I understand--but I think many people just don't think of just using an antenna these days. Or maybe they just want to hit the easy button and pay the monthly fee. (?)