At my cousin's property (which I spend a lot of time at), for a little less than their monthly price, AT&T gives us an analog telephone line with local calling. That's it.
My city of about 70k people was in the pilot program of this FTTH infrastructure upgrade in the whole country and I'm really happy I could leave my old faulty copper line behind me (tho, phone number was carried over).
Cities of 70k people are not rural... Starlink is better suited for rural locations.