is there a way to get cable and/or internet out in the middle of nowhere?

for years i lived on a ranch in Wyoming 40 miles from civilization as you know it and no off-air TV. I had a Dish subscription and found it worked reasonably well. with Dish you pay extra if you want to get local TV channels, but Dish covers most of rural America. with Direct the local TV channels are included in the base price, but they only cover a few of the largest TV markets.

i eventually dropped my Dish sub in favor of just getting DVD movies from netflix. netflix doesn't do that anymore so i dropped them too. As to internet, you can get asymmetric service from Wild Blue or Hughes Net satellites. It is high speed down but slow uplink. you can't do VoIP with them for instance. that was a lot better than the rural phone line dial up service.

go to antennaweb.org and double check that she can not get OTA TV. Otherwise her only options would be Dish Network or Direct TV.

there are some internet sticks. it's like usb but it is actually an internet dongle which might use 3g 4g or lte