Imagine the sad state of affairs if they didn't have government programs for these same problems with electricity and phone lines in the 30's through the 60's. Not just in relatively dense city areas, but even rural areas.
There were plenty of things wrong with Ma Bell, but having short-term profit rule all else is just one more systemic issue that keeps poor areas poor.
Sadly, I doubt this will ever get better; the system is too entrenched, and can protect it's interests better than any other human system in the past, making it nigh-impossible to topple.