Being the "frugal" individual that I am, I haven't had cable/satellite for years. Non-premium cable programming has really gone to hell over the past several years anyway (SyFy, wtf?), and outside of a handful of shows, cable /satellite TV really doesn't offer anything I'm interested in (at least not enough to justify the monthly premium).
What complicates this whole thing for me is that I don't have broadband available at the house. So, I put up an antenna and bought a converter box for my old analog TV to get OTA local programming (local news, sports, PBS, etc.). I have Netflix with the DVD-through-the-mail option. Anything else, I can get via my internet connection at the shop.
Now, if the cable provider in my area decided to string wire down my road, I'd sign up in a heartbeat....not so much for the programming, but for the bandwidth. Then I'd look at cobbling together an HTPC.