Our Charter Spectrum “cable” connection goes over a microwave link like this.
How do I know? Well, we had a pretty big wildfire a couple years ago that burned a microwave tower a couple hours away. The official response was that they couldn’t get internet back in town until they rebuilt the tower. Our internet was down for a couple weeks until it was safe enough for them to get back to the tower site.
Microwave relay links predate spaceflight and even when comms satellites became a thing, it made (and still makes) little sense to beam regional TV/radio/phone up to geosynchronous and back, due to cost and latency. There was no good replacement to terrestrial microwave until fiber optic became a thing.
In a very real sense microwave relays are the direct descendant of the optical telegraph (aka "clacks" in Discworld lingo).
How do I know? Well, we had a pretty big wildfire a couple years ago that burned a microwave tower a couple hours away. The official response was that they couldn’t get internet back in town until they rebuilt the tower. Our internet was down for a couple weeks until it was safe enough for them to get back to the tower site.