As a rural Dish Welcome Pac subscriber... No locals => No Dish. It's really that simple.
I'm in a rural area and 45+ miles from my OTA towers, but lucky enough that most of them are 1000 kW and receivable with an attic antenna and preamp. If that weren't the case, I'd probably still sub to Welcome Pack. The drawback (and it is a BIG drawback) is no guide data on subchannels.