Just wanted to tell about my experience setting up an Echo Show for my elderly mother. We had an old unused cell phone. I was able to get a cheap sim card for it (3.99), and put it on a very minimal plan (like 12 or less per month!). I cancelled her long distance service, so basically the cell phone plan is cheaper for her. After setting it up, I have the cell phone at my house (5 hours away) because this is not something she can handle, and then I can add any other contacts she needs to call. She has macular degeneration so dialing a phone is very difficult for her, but using voice dialing for alexa is great. I also got her an amazon music subscription (free for 3 months - then 3.99 per month so she can play her 40's music easily. I can see what she is doing with it using the history on the Alexa app, and she asks about the weather, the time, the humidity, to play music and to call. Hopefully she will learn how to set reminders for appointments etc. One fun fact is she thanks Alexa ("thank you, honey") and Alexa comes back with "no problem, your welcome, absolutely, etc etc.) Except for having to use a cell phone to set it up, it is wonderful technology for the elderly.