That might be a choice if you live in one of those fancy first-world countries. Here, we have only one DSL provider and it blocks BT traffic. You can either bend over and take it or find a way around the restriction.
Here the incumbent phone companies are required to lease out their lines to resellers. The Cable companies also provide some competition (but apparently don't have to lease out their lines). Wireless is also an option (but don't have line-of sight).
I suppose most Satellite providers will block BT traffic as well.
Please enlighten me on how to differentiate when a US resident use America (or american) to speak about his country rather than the continent. English is not my first language.
US is short for "United States of America" a person living in the USA is called an "American" instead of a U.S.A'ian.
So when you see "America" or "American" by itself, it almost always refers to the USA. To talk about the continent, that would typically be specified to avoid confusion. For example: by saying "North America", "American continent (not to be confused with continental US)", or "Americas".