A friend and myself are currently prototyping a solution where we transmit data using the near vertical incidence skywave (NVIS). Possibly the only option, when you want to avoid infrastructure at all costs. Of course you have the disadvantage of huge HF-antennas. To make this setup usable at all, we are trying with 20m long copper cables close to the ground. If this does not work we will try magnetic loop antennas.
Over there we are building an operating system for ESP32 which then controls the LoRa module. Some boards are already coming with LoRa built-in and is possible to talk with chinese manufacturers to customize them.
You cannot legally do high rate networks on HF NVIS.
Antenna size is problematic, but NVIS does not require the antenna to be high up in the air. Also the polarisation must not be vertical, so throwing a simple wire dipole on the ground, might actually do the job. But we will see, it's an experiment.
But this tends to get smaller and smaller because of higher throughput and higher capacity demands. 5G/mm-wave/densification means more, smaller cells.
In any case, the key to ubiquitous coverage is the cellular aspect: You don't build a taller mast with a more powerful transmitter. You add more cells.
I love this and I am going to try it but like all UHF and up radio communications systems this will depend on line of sight. Lora sweep modulation doesn't make your signal go through slight hills and no amount of actual power increase will either. The only solution is getting enough reliable electrical power up high above the surrounding terrain to have line of sight to the next transceiver. That's why cell networks work: they pay $$$ to build towers to put their antennas up high where they can see the users' handsets.
The mostly unpredictable and extremely low duty cycle modes of non-line of sight VHF/UHF propagation like tropospheric ducting are not a realistic option for communications networks. Alternately the more reliable tropospheric scatter is a brute force solution requiring high output power of a kilowatt or more with big horn antennas.