Assuming you're in Verizon's FiOS service area. They do seem to do a fine job, but I had problems when they were unable to foster a decent union relationship and they went to total shit for a few months. I had issues during this period and was totally stuck.

So if you're in the northeastern corridor, you have 1 option for decent isp service, and it's totally reliant on Scrooge McDuck CEO not boning up a labor agreement. Otherwise you're screwed. USA USA USA indeed.