The monopolies in question are natural monopolies (basically any infrastructure which is physically constrained), so the only way of lessening the damages from them is via government regulations.
Nope, the monopolies in question are granted by the local towns to specific providers so that they will be unprofitable connections to extremely rural recipients. It's a way to subsidize those who don't want to pay for what it would actually cost by secretly taxing everyone in the community by granting monopolies to certain businesses.