I am still on DSL because there is no fiber or 5g internet here yet*. And I live on the edge of an area with 500k people. DSL is good enough for 4k streaming video and anything else I need and costs me $65.
Why on earth would I want to make things worse by using starlink?
Of course, if I lived 50 miles from a gas station, that is different. But living rural has many risks and downsides that the people out there accept.
*
This is the real issue. If corporations had to put its customers(and employees) on the same level as shareholders(very few actually benefit the corporation directly because they don't buy stock directly from the company) a lot of problems would be solved. Or, if companies realized that taking care of the customer and employees first means that everything else will follow.