Almost all of the Nicaraguan cable TV services offer some USA and other 'foreign' channels. In Managua, for example, the TV service has not only the local 'broadcast' news, entertainment, birthday greetings, and political statements, but brings in CBS, NBC, ABC, CNN, and Fox. Most of the major sporting events (especially soccer and baseball) are telecast across the 109 or so channels. Some HBO or Showtime service is also included in the cable TV subscriptions.
Where I live, the TV/Internist service brings in 33 channels, of which 2 are Spanish-speaking. The others are CBS, NBC, and ABC, along with Fox and Fox News, BBC, HBO, Showtime, AMC, TNT, ESPN (about 3 of these), and the Golf Channel.
So we get together every couple of years and adjust by vote which channels we wish to view. We don't spend our lives in front of the 'tube', but we like Jeopardy on weekday evenings and CBS Sunday Morning.