In my area, the cable provider is the only one that offers somewhat fast speeds. Whenever they overcharge me and I spend hours sorting it out (this has happened a few times) with them I wish I could switch, but DSL is just not fast enough for working remotely.
I don't have other options for all my other utilities, but so far they have overcharged me and screwed things up royally exactly zero times.
Sure you can- nothing stops you from installing your own power generation/water purification (assuming you own your home and don't have a Nazi township/HOA).