I owned one so I could listen to baseball games (I have a debilitating disease: baseball fandom, and its most virulent strain--Mets). Living in SC, there is no other way to follow my team without paying $250 or so to the evil cable company. On ball games, the swirling sound mixes with the crowd in the background, so it's not all that annoying. Indoors, music sounded like FM when I could get it as my windows point north west. Not good for sat reception.
I just bought one for my dad. He lives in RURAL, RURAL, RURAL Colorado. It's literally 50 miles from the nearest traffic light. Internet access is available to him, but has has no PC and even if he did he'd be scared to use it. The satellite controller looks and acts like a radio, which is still is his realm of understanding. He has a huge window facing southwest across a flat treeless plain (which reaches nearly to the horizon) so reception will be fine. Plus, he's about halfway deaf, so sound quality is not so much of an issue.