Where I live, the cable sucks hard, no digital and no internet. My only option was for Verizon DSL (3.0/768) and satellite.
I've had Dishnetwork for 7+ years w/ no problems with the service or receivers. If you have to call for any reason (for me usually upgrades) the CSR's are clueless and untrained. If your looking at satellite and want HD, go with Dish. Right now I'm getting 26 HD channels (including local networks) through Dish. I have the latest HD DVR with On Demand(Vip 622). Like I said, I like Dish Network except when i have to talk to the clueless CSR's.
Have had Verizon DSL for over a year ($29.99) and only had one issue with service.
$29.99 internet
~$80 TV
= $110 per month for both.