It's not just monopolistic regulations. Outside of dense urban areas there is not much room for competition among ISPs. At some point it is never going to be profitable to compete; and in some places it will never be profitable to even build the infrastructure in the first place. The only reason DSL is widely available is that phone companies were forced to build the copper network even in unprofitable places, so adding DSL service was not too hard for them.

If we really want a market-based approach we need infrastructure sharing rules. Prior to 2003 we had lots of competition in the DSL market; after the sharing rules were eliminated competition vanished almost overnight and we wound up with the monopoly situation we face today. Infrastructure sharing requirements have worked very well in France, where fiber optic service is more widely available and costs consumers less.