It's really no different here than elsewhere. It depends on what services you have available in your location.
Metrocast is similar to Comcast. You can buy a bundled package that is often "cheaper" than purchasing each separately. It is still the best option for your internet connection. One bill, one call for changes, etc.
We used to have DirectTV for video. I still think it is the best service for TV/video services. The downside for me was no viable option for internet, and still needing to go elsewhere for phone service. You also need to make sure you have a clear line to the satellites.
If we could get a cell phone signal at our house, and could get decent reception for the network channels over the air, I'd drop all but internet. Increasingly, we are finding that most of our tv watching is shows via streaming services.
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