No options here. We have only electric, water, and Internet, but all three are monopolies. Fortunately, the electric is a rural co-op, so the rates are much lower than the "urban" company - which has a monopoly in all of the towns and cities.
Our internet is a monopoly only for us; if our house were closer to the road, there's a cable company that would be available, bu they won't run a line this far. Technically, we could get satellite, for that matter, but that's really no option at all.