I live in rural Florida and dial-up is the only service available except a very expensive, nearly $100 per month satellite service. It also requires a several hundred dollar start up charge.
Maybe 5 or 6 years ago, I got along fairly well with dial-up but so many web pages, services etc. are set up for high speed and dial up is just not practical. For instance Youtube downloads can take an hour or more. Microsoft updates can take days to download.
It really is a real problem.
That is pretty much what you can expect to pay if you are in an area where there is broadband installed. You'll see the introductory rate of something like $39.00 but after six months or so you'll be paying "nearly $100 per month".