Sure, and we basically force users to choose one or two providers. Some of these are compelled to serve rural customers as well.

I live in the SF Bay Area, and have Sonic internet. 10gbe for 60 bucks a month.

I ended up building my own router/firewall because it was cheaper than anything off the shelf that could deal with that sort of speed.

It is entirely possible to have these sorts of services in the states, when competition is allowed.