I'm not 100% happy with my utility companies, but I'm 500% more satisfied with them than any cable company I've ever had.
You won't be kicked out of your house for canceling cable.
I don't have other options for all my other utilities, but so far they have overcharged me and screwed things up royally exactly zero times.
http://arstechnica.com/business/2015/01/fcc-chairman-mocks-i...
Honestly though, large utilities are a good case of a "natural monopoly".