I live rural, though not exactly the middle of no-where, but only option is a 10/1 fixed wireless service. I work full time at home (and run a SaaS company) ... with two young adult kids at home that last few months we have been burning around 500GB a month.
Do we stream Netflix @ 4K ... no, but it is quite workable at low res, the 1Mbps upload is the most painful portion.
My cell data is faster (but 50GB\month cap) so I will use that for large uploads to save time, and also as a backup since we get frequent fixed wireless outages (esp. in summer since any storm seems to cause problems).
I also occasionally spin up EC2 instances to remote to when moving around data to avoid dragging it down locally (usually video). Works fine ... remote desktop to a Windows instance is perfectly usable.
Zoom/Google Meet/etc work OK ... not great, but perfect usuable and a lousy connection is a good excuse to turn off video sometimes!
I hold out hope for 21st century technology some day, but wouldn't switch the trade-off of being more in-town for a faster connection.