HI Lynn,
Yes, I carry a cell phone into the wilds. It would be my method of first resort in a rescue scenario. Often, I can't get a signal. But at other times I can get out in some of the most surprising places. It's a total crap shoot. Generally, in deep canyons the cell will not work and neither will 2m ham radio. The Moab area is a good example of where cell towers and 2m repeaters are very problematic especially in the huge Canyonlands National Park where neither are allowed. Neither method is one you would want to bet your life on. This, in fact, applies to any technology that is based on cell phone technology such as SPOT.
Without trying to be overly redundant, but to make a point, PLB's do not suffer from the same system drawbacks. With PLB you are communicating directly with a satellite using a strong and powerful signal (much more potent than SPOT) with a fixed message content that defines the GPS position of the emergency call (your position). Furthermore, after a contact has been sent, multiple times, the PLB switches out of the high power mode to the low power Radio Direction Finder mode where the unit sends a series of RF beeps until the battery finally runs out. This is to help Search and Rescue precisely locate you using radio direction finding gear. All Search and Rescue teams are equipped to receive this signal and, since it is standardized, there is no guess work.
While the PLB system does not have all the bells and whistles that, for example, SPOT provides, its simplicity accounts for much of its reliability. I really don't care what my wife had for diner that night. The PLB is not a participant in the social network. I like it that way. All I want is to get rescued in a timely manner.
Other PLB system aspects may interest you. The battery in a PLB is not user serviceable. It is sealed inside the PLB. It is a high capacity lithium battery with a shelf life of 5 years. The battery replacement date is stamped on a label that is applied to the PLB in a very robust way. It will not fall off! After 5 years from the time the PLB is registered, it must replaced. This can only be done by an authorized PLB service center. You must send your unit in for service. It's not cheap. But is cheapness the issue? ACR, the manufacturer of my PLB, charges $150 for a replacement battery. But, this is much more than a simple battery replacement. The entire unit is tested and compared to a set of strict data sets. This is to insure that the unit is operating properly. All this is part of the PLB protocol, not a manufacturers choice. And it is documented.
Furthermore, after the PLB has been activated it is strongly suggested that the unit is sent in for a battery replacement and system test. My ACR PLB is due for a battery replacement in December of this year. Dates and serial numbers are all maintained by the agency with which you registered the unit. Every year an email message is sent to me asking for verification of my ownership (that I haven't sold it), and that my contact information is still valid. The protocol tries to do what it can to insure that the system will work when it is needed without fail.
Additionally, all PLB's are subjected to rigorous development testing much like NASA qualification programs. So, when you buy a PLB, there is a very high assurance that the design and the individual unit are operating according to spec. And it is documented.
None of the other systems have such careful quality assurance. SPOT, for example, has nothing more than the good graces of the manufacturer to guarantee proper and reliable operation. Depending on the manufacturer, this may be OK but there are no watchdog agencies overlooking the process. Again, it's a crap shoot. PLB is different and infinitely better.
Sparky