We may, one day, get an à la carte cable choice system....but it will very likely cost us more than what we are paying now.
Give me a break, the cable industry is in collusion with the media conglomerates to get us to consume as much crap even if we really don't want it. I don't want my MTV and I shouldn't have to take the time to go block it or support it in any way. Echostar is the exception as they wanted to start offering smaller packages ala carte but Viacom had a shitfit and put a stop to it.