My wife and I dropped Dish over a year ago, and we are satisfied with the results. We have a Tivo Roamio OTA and 2 Minis. This replaced our original Hopper and Joey setup. We watch local channels, Netflix, and Amazon Prime. We had both Amazon and Netflix when we had Dish, so the real change was in what we were paying for programming. I had (approximate) up-front costs of:
$50 - Tivo
$100 - 3TB HDD Upgrade
$100 - Clearstream 2v Antenna
$250 - Tivo Minis
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$500 - Total
On-going costs are $15/month for the Tivo service. I know a lot of people hate this fee, but really, what are you paying for a Cable or Satellite whole-home DVR? Compared to what my Dish bill was before I dropped it, I am paying $45 less per month. That means my initial investment paid for itself in just over 11 months.
The important consideration is that we still have plenty to watch. Perhaps if I had won the Powerball, or I had tons of time on my hands, I might need more things to entertain me, but at this point in my life, where I watch an hour or 2 per day, it really isn't necessary.
With all that said, if I was to subscribe to a satellite or cable service, Dish would be my choice, and it would be my recommendation to anyone considering such a service.