It's not quite that drastic. Anywhere I lived I had at least two, often three options. But switching, especially if you have physical wiring and figured it out and working the way you want, is a hassle, so I would not do it lightly. My 2c.
There at most 2 wired internet options at every address I’ve seen. You have wired cable internet via coaxial from TV company, and fiber to the home from the telephone company, if you’re lucky (a very small percent of homes have this option). Most people just have the option of cable internet from TV company.
And wired DSL with 3Mbps from phone company doesn’t count as broadband internet, in my opinion.
I've generally had two choices: 5-12Mbps DSL or cable. A couple times I was able to get Google Fiber, but I'm sure you know how limited the availability of that is.