In the UK the last mile is either OpenReach, Virgin Media or KCOM. Because OpenReach has a virtual monopoly in last-mile infra across the country they are regulated and must provide access to other ISPs, in the old days through colocated DSLAMs in local exchanges (LLU) and now by having a set maximum price they can sell wholesale VDSL, FTTP and voice lines.
As a result, you have the gamut of ISPs from niche who focus on having amazing backhaul and customer service (AAISP) to "pile them high" ISPs like Vodafone, TalkTalk and then people like Sky who bundle talk, tv and broadband into relatively affordable packages.
As a result - there is a lot of competition almost everywhere in the country, and I can get a 384Mbps down 37Mbps up connection with unlimited usage and no traffic shaping for £50 a month.
After all of the rest of the comment, that's a pretty disappointing result. Fifty quid is currently $63. I can get symmetric gigabit FTTH for $65, or docsis 200 mbit for $40. This is not uncommon in urban areas in the states.
Where I am, in an urban apartment complex I had two provider choices: Frontier and Optimum. Frontier wired the building, but their plans were ridiculously underwhelming. My Optimum plan is ~$55/m including modem/router for 300/35. Their highest offering for upload seemed to be 45Mbps (or 35, plan descriptions between the site and sales were not consistent).
I’m not in telecom nor a networking expert, but what difficulties are there in offering symmetric plans?
It's also worth mentioning that there's no "equipment rental" fee on my DOCSIS connection for the cable modem.
As far as I understand the problem in the US is that many locations have just one wired service provider. Meaningful competitions would require that most buildings have multiple sets of fiber.
Splitting telecoms by geography seems pointless: California and Texas ISPs can't compete with each other without huge capital spending.