My husband and I have been using SPOT GPS messengers for 10 years (we started with the first generation SPOT and subsequently upgraded to the second and third generation devices for the features they offered) and mainly use it to let our family and close friends know where we are when we are not easily contactable (our SPOT account is configured to automatically send them an SMS and email when we use the OK message checkin).
The main issue with any device like a SatPhone, EPIRB, InReach or similar device that has to used/activated in or order to obtain help/assistance (or features like the Help/SOS function some of these devices have) is that if you are unconscious, not able to operate the device due to injuries, and/or separated from the device (and not able to reach it) you won't be able to activate anything.
The thing we like most about the SPOT (which we always use in tracking mode when we are out motorcycle riding on our own) is that, in the event of an incident/accident, we don't have to activate anything for someone to know where we are. Also, by using tracking mode others can follow your trip in almost real time and you can save a record of the route you took - if you visit my website (https://www.leslies.id.au) you can see the SPOT route for the 2009, 2012 and 2013 Postie Bike Challenges.
Finally, and unless one of us is out motorcycle riding with it, we always carry the SPOT in the car so that, if necessary, we can activate the SOS function for ourselves or someone else in locations where there is no phone reception.
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