That has nothing to do with net neutrality. These companies are free under any form of the law to offer you a small-cap low-speed plan for a small fee but they don't bother.
If they restricted the services you could access or their relative speeds, then you get into trouble.
You definitely don't want surgery over the Internet - what happens when someone slices through your local fibre cable, for a start? Think about what you're saying.
If they restricted the services you could access or their relative speeds, then you get into trouble.