Experiences with Alternate Local Phone Companies?

chasmosis asks: "In the last few months, I've moved about 25 minutes outside of St. Louis and discovered that the local baby bell charges exorbitant rates (at least in my view). I've explored alternate local carriers like Sprint and others who have had uncompetitive prices, poor customer service records, or were unclear on things like 'specifically what exchanges can I call that are still considered local calls'. Right now I'm on SBC's Metro plan where I can call to and from much of the St. Louis local area as a local call instead of a toll call. I'd dump my landline entirely and get another cell if I didn't need it for dial up internet, since I live in the sticks and there is no cable, no DSL, and the top speed for dialup is 28.8. What are other people using for alternatives to their local telephone provider? What are your experiences, good and bad?"