1) Regulatory reforms have benefited consumers for most telecommunications services except for local residential rates, which have remained stagnant. 2) Incumbent local exchange carriers subsidize their basic local rates through high intrastate access charges and fees for additional services, distorting the telecommunications market. 3) Reforms are needed to remove cross-subsidies, reduce access charges to interstate levels, and target universal service funding to avoid further distorting consumer choices and rewarding increased costs.