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Most people in the US don't have a choice in their ISP.

Interesting. That's news to me. The majority of people in the US really only have one choice?

Somewhat. Most people in the US only have a choice between the specific type of line they use (Cable, DSL, Satellite). There are typically only one provider for either Cable or DSL in an area, and you're not even guaranteed to have an option between either.

I'm really struggling with this concept. I've lived in 3 different metro areas in the US and always had more than one option. I can see it for rural areas but in terms of % of population. Can't find anything definitive on the internet though.

I've lived in three metro areas, and only one had significant choices in provider, and that was a decade ago, 2004. I had the choice of three cable providers, and I was just on the edge of a local ISP's service area so I was able to get a decent price and great service.

I lived in northern Bothell, in Seattle, and I had one ADSL provider (not even 'fast' DSL) and one cable provider to choose from. In the metro area I live in currently, I've had exactly one DSL and one cable provider, and I've moved across the city and the variety didn't change.

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