Virtually everyone gets their internet from an ISP that is regulated in the country that the user lives in. There are no technical barriers to implementing a permitting system in the United States.
Linking connections to real people is self-enforcing when there is a usage-based tax.
[1] https://www.africanews.com/2018/04/13/uganda-s-social-media-...
People have bothered with downloading low-quality Mp3s from Napster, figuring out video codex and modding game consoles to get free video games. If the need is dire enough, the users will figure it out, no matter how high the friction is.
Those with enough technical chops will figure out how to do it by themselves, those with enough intelligence will find resources on the internet, the rest will ask a friend or pay a local IT person to get it set up for them.