I think you've got your categories wrong and very selectively chosen. * Water / Sewer: Regulated OR 'off grid' (EG: well + septic field) * Roads: Local roa

I think you've got your categories wrong and very selectively chosen. * Water / Sewer: Regulated OR 'off grid' (EG: well + septic field) * Roads: Local roads always regulated (taxpayer provided) * Hospital: Many areas only have one, denser areas may have a small handful; in an emergency you don't choose. * Electricity: Regulated (Possibly a choice of generation providers, usually never a choice of 'line transmission' providers.) * Natural Gas: Regulated, one provider. * Schools: Regulated, there's a basic default option. * Police: Regulated, there's a basic default option. * Fire: Regulated, there's a basic default option. * 'Emergency': Your 911 call goes to one place* (for a source area) * Data: Many municipalities have //regulated// a monopoly (sometimes a duopoly) Yet they don't regulate the performance of that monopoly sufficiently.