I can personally attest to this, until I moved out to the city, I was significantly kneecapped in terms of what speeds I could have and it had an impact given how many services just implicitly assume you have high bandwidth and more or less lock you out if you don't. And I was one of the "lucky" ones in the sense that I was on a well known national cable provider, heaven forbid you were on telecom DSL or (for the really poor sods out there) V.92 or ISDN.