I live in a small town too - well, outside of town. No cable, no dsl, no nada. Choices are wireless 3g, dialup and satellite. It's a lose/lose lol. When I lived elsewhere and had cable internet, it was great when it was on (charter). For some reason the router kept losing signal and required a restart once a day at least. In the evenings on weekdays the speeds got noticeably slower. The delay was what I was referring to - for instance, streaming video. I'd click on a 30min youtube video or netflix video and it would have a brainfart for a minute trying to load the page. Once it got past the hesitation, then the video streamed no problem without buffering. It seemed to go out a lot (both t.v. and internet) and reminded me of the old days of cable t.v.
For gaming, the lag/ping response needs to be low. High ping rates will cause delays that will poorly affect gaming especially for fast action fps games.