Good evening, I posted my question quite some time back and decided to read these posts as I keep getting notices in my "in box". We decided to go with Medical Guardian and have not been disappointed with it. We do get a quarterly bill so for that there is some expense related to it but like the idea that one gets a "live person" to come on the phone whenever it is activated, I have not had to use it but have had some instances where the device was dropped and got an immediate response which is very comforting. I am reading how many have the ID necklaces and bracelets which are all very helpful, but - - - they do not activate an emergency system so are only helpful when someone or you have put in an emergency call. However if you can't get to a phone or have blacked out you might be lying there for quite some time before anyone finds you. We know of a case where that just happened and the person layed there for several hours before being found. Apple watches are good but since I am not familiar with them do they detect a fall and activate an emergency system? It's fine if you black out and then wake up to activate it but you may remain unconscious for quite some time. Thank you everyone for continuing this discussion, it is a vital one to have as we age, and please remain health conscious.