You may choose DirecTV, while your neighbor chooses Satellite Direct. A block over, someone chooses Dish Network while their neighbor opts for cable.
What's the commonality in this group of neighbors? Choice. And that they're all happy with their choice. The reason for this is that all these people have individual needs or desires that relate directly to their programming. As an example, I'm not a sports guy so I'd like to forgo any packages with my provider that offer year round sports. My friend John, however, is a football fanatic and would turn his nose up at any service that didn't provide regular access to his favorite team's games.
Content is important, but so is price- if you're willing to go through a little bit of trouble, you can watch most of your shows on Hulu or Satellite Direct, watch your movies with a Netflix subscription and be very happy, all with the perks of digital video recorders and all the goodies available from cable or satellite.
The bottom line is, once again, do your research. Know what you want and what you're willing to pay for it and see which company will meet your needs most efficaciously.