I think our biggest problem here is a reliance on indoor antennas.
You can get away with 'em relatively close to the transmitter site. I'm 20 miles out from our local "antenna farm", and get all of the local DTs with a strong signal aside from our two problem children, WKYC-DT and WVIZ-DT, which are getting new facilities. Oh, and the flaky lower-ish power WOIO-DT (CBS), which will eventually at least increase that power post-transition.
Even with that, at times I have to move the antenna to keep a station from breaking up.
If I were able to put an antenna on the roof, I would probably not have to do that.
Unlike Pinnacle Hill, our antenna farm doesn't have all the towers in the same place...they're spread out a bit between the suburbs of Parma, Seven Hills and North Royalton. But the directional nature of picking up DT signals means that it's hard to find a "sweet spot" that doesn't require an indoor antenna nudge.
Of course, there are cases like that of one Mr. Fybush, who not only has a roof antenna, but is so close to Pinnacle Hill that the stations could almost send him a short fiber feed...that works against him, in at least one case, as he can't pick up at least one out of town DTer because of an LPTV up on Pinnacle Hill...