Earlier quoted context omitted.
you literally don't need at all Unless you live in a place without broadcast television, or little broadcast television, and with little to no internet service. So pretty much 20% of the United States. The nation is much larger than the east and west coasts.
Most of the people living in the US between the coasts still live in urban areas. Only a few states have a minority of urban dwellers: Maine, West Virginia, Mississippi, Vermont. Many large interior states have overwhelmingly urban populations: Arizona (90%), Colorado (86%), Illinois (89%), Michigan (75%), Ohio (78%), Nevada (94%), Texas (85%), Utah (90%). https://www.icip.iastate.edu/tables/population/urban-pct-sta.…
And anecdotally, I know several people who live in urban places who still don't have access to cable television.
Back to the topic, though — the OP stated, "you literally don't need at all." My point is that his postulation is invalid for millions of people.