It all depends upon how much power is put into those very low angles
versus path loss at higher ones. Brute force often gets the job done.
Why would anyone use significantly more power to get a job done using a low
angle, when the same job could be done with a higher angle and less power?
That makes no sense at all.
I don't know anyone who would intentionally use a more expensive, harder to
errect, more difficult to maintain, antenna when a less expensive
alternative would work better.
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Topband Reflector