Choosing the right medical alert system for senior citizens involves balancing safety features, ease of use, and cost. The Medical Guardian MGMini stands out as the best overall due to its compact design and reliable service, while the Bay Alarm Medical SOS Mobile GPS excels with its GPS tracking and fall detection for more active seniors. Many systems face tradeoffs like higher costs versus more comprehensive coverage or simplicity versus advanced features. Continue reading for an in-depth comparison to find the best fit for your needs.
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Key Takeaways
- The top systems combine fall detection with GPS to support active seniors and those with mobility concerns.
- Most affordable options eliminate monthly fees but may lack advanced features like GPS or waterproofing.
- Ease of use, including simple call buttons and clear instructions, is critical for seniors with cognitive or visual challenges.
- Waterproof designs are essential for around-the-clock safety but can come at a higher price point.
- Systems with cellular connectivity provide independence away from home, but they tend to be more expensive than landline-based options.
| Medical Guardian MGMini Medical Alert Device for Seniors |  | Best Overall for Discreet Independence | Connectivity: AT&T and Verizon 4G LTE | Battery Life: 3 days | Recharge Time: 4 hours | VIEW ON AMAZON | See Our Full Breakdown |
| Medical Alert System – No Monthly Fees – Waterproof Necklace and Wrist |  | Best for Cost-Conscious Users Who Need Waterproof Simplicity | No Monthly Fees: Yes | Waterproof: Yes | Panic Buttons Included: 2 | VIEW ON AMAZON | See Our Full Breakdown |
| Bay Alarm Medical SOS Mobile GPS – 24/7 Medical Alert with Fall Detection for Seniors |  | Best for Seniors Who Need GPS and Versatile Wearing Options | Brand: Bay Alarm Medical | Network: Verizon 4G LTE | Item Count: 1 | VIEW ON AMAZON | See Our Full Breakdown |
| PILSAMAS WiFi Smart Caregiver Pager, 1 Receiver, 2 Call Buttons & Wristband |  | Best for Home Care with Wi-Fi Connectivity | Package Dimensions: 5.2 x 4.69 x 2.83 inches | Item Weight: 9.3 ounces | Batteries: 1 12V battery (included) | VIEW ON AMAZON | See Our Full Breakdown |
| Safety+ 4G Medical Alert System with Fall Detection and GPS |  | Best for All-Day Wear with Long Battery Life | Includes: Device, charging dock, lanyard, belt clip, caregiver app | Connectivity: 4G nationwide | Battery Life: Up to 6 days | VIEW ON AMAZON | See Our Full Breakdown |
| SecuLife Medical Alert Pendant for Seniors with Fall Detection and GPS Tracking |  | Best Overall for Safety and Real-Time Monitoring | Brand: Seculife | Built-In Media: Charging Cable, SIM Card, User Manual | Unit Count: 1 | VIEW ON AMAZON | See Our Full Breakdown |
| Freedom Alert Landline Personal Emergency Device with 2-Way Call for Seniors and Elderly |  | Best for Fixed Home Use and No Monthly Fees | Connectivity: Landline | Communication: 2-Way Voice | Rechargeable: Yes | VIEW ON AMAZON | See Our Full Breakdown |
| Senior Help Dialer Medical Alert System |  | Best No-Monthly-Fee Landline System with Multiple Call Buttons | Panic Buttons: 2 (wrist and necklace) | Range: 100 feet | Water Resistance: Water resistant wrist panic button | VIEW ON AMAZON | See Our Full Breakdown |
| WiFi Caregiver Pager Life Alert System for Seniors – No Monthly Fee, App Control, Waterproof Call Button, Watch Button, Receiver (Supports 2.4GHz Wi-Fi) |  | Best Long-Range Wireless Wi-Fi System with Custom Alerts | Connectivity: 2.4GHz Wi-Fi | Range: 656 feet | Waterproof: Yes | VIEW ON AMAZON | See Our Full Breakdown |
| ADT On-The-Go Mobile Medical Alert System for Seniors, White Wristband |  | Best for Active Seniors Needing Nationwide Coverage | Activation: One-button call | Network: AT&T nationwide | Waterproof: Yes | VIEW ON AMAZON | See Our Full Breakdown |
| Life Alert System for Seniors No Monthly Fee App-Controlled with Waterproof Wristband and Call Button |  | Best for Remote Monitoring and No Monthly Fees | Compatible Devices: Smartphone | Number of Batteries: 2 | Control Method: App | VIEW ON AMAZON | See Our Full Breakdown |
More Details on Our Top Picks
Medical Guardian MGMini Medical Alert Device for Seniors
The Medical Guardian MGMini stands out as the most balanced choice, combining discreet wearability with reliable emergency communication. Its design appeals to seniors who prefer subtlety, offering multiple wearing options that blend seamlessly into daily life. Unlike the Bay Alarm Medical GPS device, which focuses on GPS tracking and fall detection, the MGMini emphasizes ongoing communication with a two-way speaker, enhancing reassurance during emergencies. Its long battery life and quick recharge reduce worries about frequent charging, but the subscription fee and optional fall detection add ongoing costs. Compared to the waterproof, no-monthly-fee system, this pick prioritizes connectivity and safety for those comfortable with a monthly service fee. Best for seniors needing reliable, discreet monitoring with optional fall detection.
Pros:- Discreet and comfortable necklace design with multiple wearing options
- Reliable 24/7 emergency monitoring with two-way communication
- Long battery life with rapid recharge
Cons:- Subscription required for active monitoring service
- Additional fee for fall detection feature
Best for: Seniors who want a discreet, wearable device with reliable 24/7 monitoring and are okay with a monthly fee.
Not ideal for: Caregivers seeking a device with extensive range or no ongoing costs, as the subscription and limited device count may be restrictive.
- Connectivity:AT&T and Verizon 4G LTE
- Battery Life:3 days
- Recharge Time:4 hours
- Subscription:Required, $43.95/month
- Fall Detection:Optional, $10/month
- Device Type:Necklace
Our verdict“This device suits seniors who value discreetness and dependable emergency support but are prepared for ongoing costs.”
Medical Alert System – No Monthly Fees – Waterproof Necklace and Wrist
This system appeals to those prioritizing no monthly fees and waterproof durability, making it ideal for daily use and active lifestyles. Its large, easy-to-press button offers quick access to help, and with up to eight additional panic buttons, it provides extensive coverage within a home or outdoor area. Unlike the Bay Alarm Medical GPS device, which includes GPS and fall detection, this system does not offer location tracking or fall alerts but compensates with its affordability and simplicity. The lack of detailed battery life information is a drawback, especially for users who need reassurance about long-term reliability. This pick is best for seniors who want a straightforward, no-cost alert system for home or light outdoor use.
Pros:- No monthly service fees, reducing ongoing costs
- Waterproof design suitable for daily wear and outdoor activities
- Includes two panic buttons with extensive range and additional buttons
Cons:- Limited information on battery life and recharge time
- Requires pairing with personal phone numbers, adding setup complexity
Best for: Cost-sensitive seniors or caregivers seeking a waterproof, no-monthly-fee emergency system with multiple panic buttons.
Not ideal for: Those needing GPS tracking or fall detection, since this model lacks those features.
- No Monthly Fees:Yes
- Waterproof:Yes
- Panic Buttons Included:2
- Additional Buttons Allowed:Up to 8
- Range:70,000 sq ft
- Call Capacity:Up to 3 phone numbers
Our verdict“Ideal for seniors seeking a simple, waterproof alert system without ongoing fees but without advanced tracking features.”
Bay Alarm Medical SOS Mobile GPS – 24/7 Medical Alert with Fall Detection for Seniors
The Bay Alarm Medical SOS Mobile GPS provides a compact, water-resistant device that combines GPS tracking, fall detection, and nationwide cellular coverage. Compared to the Safety+ system, which offers similar features, this model emphasizes mobility and real-time location tracking, making it ideal for active seniors or those who frequently go outdoors. Its multiple wearing options—neck lanyard, belt clip, or clothing clip—offer flexibility, but some users report concerns about durability and limited battery life, which can be a drawback for those relying on it daily. Subscription fees are similar to the Medical Guardian MGMini, but this device is more suited for users with active lifestyles and outdoor needs.
Pros:- Easy to set up and use with one-button emergency access
- Reliable nationwide cellular coverage with GPS tracking
- Multiple wearing options for comfort and convenience
Cons:- Subscription required for full features
- Some reviews cite concerns about device durability
Best for: Active seniors or caregivers wanting GPS tracking combined with fall detection for outdoor safety.
Not ideal for: Seniors who need a device primarily for home use or prefer longer battery life over portability.
- Brand:Bay Alarm Medical
- Network:Verizon 4G LTE
- Item Count:1
- Battery Life:Several days
- Water Resistance:Yes
- Wearing Options:Neck, belt, clothing clip
Our verdict“Best for outdoor-active seniors needing GPS and fall detection combined with versatile wearing options.”
PILSAMAS WiFi Smart Caregiver Pager, 1 Receiver, 2 Call Buttons & Wristband
The PILSAMAS WiFi Smart Caregiver Pager system is tailored for home care environments, offering a long-range Wi-Fi hub that effectively covers up to 328 feet through walls—more than sufficient for most residences. The waterproof call buttons and customizable alert tones help alert seniors or caregivers quickly, with app control adding convenience. However, its reliance on Wi-Fi (not 5G) limits mobility outside the home, and the lower customer rating indicates some user experience issues. This device is especially suited to caregivers needing a straightforward alert system within a home or care facility, but less so for outdoor or mobile use where cellular systems are preferred.
Pros:- Long 328ft Wi-Fi range with through-wall capability
- Waterproof buttons suitable for wet zones
- Customizable alert tones and app sharing features
Cons:- Requires Wi-Fi (not 5G), limiting mobility outside Wi-Fi zones
Best for: Caregivers in home settings seeking a Wi-Fi-based alert system with long-range and customization options.
Not ideal for: Seniors who need a portable or cellular-connected device for outside the home, as it depends heavily on Wi-Fi.
- Package Dimensions:5.2 x 4.69 x 2.83 inches
- Item Weight:9.3 ounces
- Batteries:1 12V battery (included)
Our verdict“Best for caregivers wanting a reliable, long-range Wi-Fi alert system primarily for indoor use.”
Safety+ 4G Medical Alert System with Fall Detection and GPS
The Safety+ system offers a comprehensive package featuring fall detection, GPS location, and caregiver app access, making it suitable for seniors who prefer a wearable device for all-day safety. Its long battery life—up to 6 days—reduces charging frequency, a plus over shorter-lived devices like the Bay Alarm Medical GPS. The included accessories and multiple wear options, such as lanyard, belt clip, or wristband, add versatility. However, the subscription cost and mixed customer reviews suggest that some users experience issues with reliability or satisfaction. Compared to the MGMini, which is more discreet, the Safety+ prioritizes extended coverage and safety features for active or mobility-challenged seniors.
Pros:- Easy activation with first month included in the price
- Automatic fall detection enhances safety
- Battery lasts up to 6 days, lessening charging needs
Cons:- Subscription fee after the first month
- Mixed reviews about reliability and customer satisfaction
Best for: Seniors who want a long-lasting, all-day wearable device with fall detection and GPS tracking.
Not ideal for: Those seeking a device without ongoing subscription costs or with a simple interface, as this system involves monthly fees and more complex features.
- Includes:Device, charging dock, lanyard, belt clip, caregiver app
- Connectivity:4G nationwide
- Battery Life:Up to 6 days
- Water Resistance:Yes
- Fall Detection:Yes
- GPS Location:Yes
Our verdict“Ideal for seniors wanting a versatile, long-lasting wearable with safety features but willing to handle ongoing costs.”
SecuLife Medical Alert Pendant for Seniors with Fall Detection and GPS Tracking
This pendant excels in providing comprehensive safety features, combining automatic fall detection with GPS tracking that can notify caregivers of a senior’s precise location. Compared with the WiFi Caregiver Pager, the SecuLife offers more robust safety tech, especially with auto fall detection, but it requires a monthly subscription, which could be a downside for budget-conscious users. Its waterproof design and large SOS button make it accessible for everyday wear, ensuring seniors can call for help easily. However, the limited battery information and moderate customer satisfaction suggest it might need regular attention. This pick makes the most sense for active seniors or families who prioritize real-time location and automatic fall alerts.
Pros:- Automatic fall detection enhances safety without manual activation
- Real-time GPS tracking with geo-fence zones improves location awareness
- Waterproof and durable design suitable for daily wear
- Easy-to-use interface with large SOS button
Cons:- Monthly subscription required for full functionalities
- Customer satisfaction ratings are moderate, indicating potential reliability issues
- Limited info on how long the battery takes to recharge
Best for: Active seniors who want reliable fall detection and GPS tracking with minimal hassle
Not ideal for: Seniors on a tight budget or those who prefer a device with no ongoing fees
- Brand:Seculife
- Built-In Media:Charging Cable, SIM Card, User Manual
- Unit Count:1
- Warranty:Manufacturer warranty
- Waterproof:IP67
- Battery Life:Up to 6 days
- Features:Auto fall detection, GPS tracking, 2-way calling, geo-fence zones
Our verdict“Ideal for tech-savvy seniors or families seeking comprehensive safety features with real-time monitoring.”
Freedom Alert Landline Personal Emergency Device with 2-Way Call for Seniors and Elderly
The Freedom Alert stands out for its simplicity and cost-effectiveness, as it uses existing landline service to facilitate two-way communication, making it a reliable choice for seniors who prefer a stationary device. Unlike the WiFi Caregiver Pager, it doesn’t rely on internet connectivity, but this makes it unsuitable for seniors who need a portable alert system or live in homes without landlines. Its rechargeable battery with backup ensures continued operation during power outages, and the easy-access buttons make it user-friendly for less tech-savvy individuals. The main tradeoff is the need for a landline, which might limit its appeal for those switching to VoIP or wireless options. This device is best suited for seniors living in stable home environments with landline access.
Pros:- No monthly service fees, saving ongoing costs
- Rechargeable with a 24-hour backup battery
- Simple two-way voice communication for direct contact
- Easy to operate with dedicated emergency buttons
Cons:- Requires existing landline service, limiting portability
- Limited to home use; not portable outside the house
- Dependent on landline availability, not suitable for VoIP users
Best for: Seniors in homes with landline phone service who want a simple, no-cost emergency device
Not ideal for: Active seniors or those without landlines seeking portable or wireless solutions
- Connectivity:Landline
- Communication:2-Way Voice
- Rechargeable:Yes
- Battery Backup:24 hours
Our verdict“Best for seniors in stable home environments with landlines who prioritize simplicity and cost savings.”
Senior Help Dialer Medical Alert System
This system appeals to those who want to avoid ongoing costs, featuring two panic buttons—wrist and necklace—that can call up to three pre-set numbers with personalized messages. Compared to the ADT On-The-Go, it doesn’t include professional monitoring but offers flexibility with landline and Bluetooth support. Its water-resistant wrist button adds convenience during activities like showering, yet the system’s call limit and reliance on landlines or Bluetooth adapters may restrict its use for tech-averse or VoIP-dependent seniors. The need for a Bluetooth adapter for cell phone compatibility is an extra step that could complicate setup. This system makes the most sense for seniors who prefer a simple, low-cost emergency call setup at home.
Pros:- No monthly fees or contracts, reducing ongoing costs
- Includes both wrist and necklace panic buttons for convenience
- Water-resistant wrist button suitable for showers
- Supports landline and Bluetooth for added flexibility
Cons:- Limited to calling only three preset numbers
- Requires Bluetooth adapter for cell phone compatibility, sold separately
- Dependent on landline or Bluetooth connectivity, not cellular networks
Best for: Seniors who want a straightforward, no-monthly fee system with multiple call buttons
Not ideal for: Those seeking a portable device or who rely on VoIP systems without Bluetooth adapters
- Panic Buttons:2 (wrist and necklace)
- Range:100 feet
- Water Resistance:Water resistant wrist panic button
- Connectivity:Normal phone line; Bluetooth adapter for cell phone (sold separately)
Our verdict“Ideal for landline users seeking a low-cost, simple emergency button system with multiple wearable options.”
WiFi Caregiver Pager Life Alert System for Seniors – No Monthly Fee, App Control, Waterproof Call Button, Watch Button, Receiver (Supports 2.4GHz Wi-Fi)
This WiFi-based system offers extensive range up to 656 feet and supports app notifications, making it ideal for caregivers managing multiple seniors or larger homes. Unlike the landline-based options, it relies entirely on Wi-Fi, which can be a drawback if the network is unreliable, and it requires a compatible 2.4GHz Wi-Fi network. Its waterproof call and watch buttons, along with customizable ringtones and volume, give it versatility for active seniors who may need alerts in different scenarios. However, the need for a subscription for SMS and call alerts adds a recurring cost, and it lacks cellular support, limiting its use in homes without stable Wi-Fi. This system is best suited for tech-savvy families wanting long-range, customizable alerts without monthly fees.
Pros:- No monthly fee for the core alert system
- Long-range signal penetrates walls effectively
- Customizable ringtones and volume levels
- Waterproof design suitable for various activities
Cons:- Requires stable 2.4GHz Wi-Fi network, which may not be available everywhere
- Subscription needed for SMS and call notifications
- No cellular connectivity support for backup
Best for: Families with good Wi-Fi coverage seeking a long-range, app-controlled alert system
Not ideal for: Seniors in homes with unreliable Wi-Fi or those who prefer cellular independence
- Connectivity:2.4GHz Wi-Fi
- Range:656 feet
- Waterproof:Yes
- Includes:Waterproof call button, watch button, receiver
Our verdict“Best for tech-savvy families with reliable Wi-Fi seeking long-range alerts and customizable notifications.”
ADT On-The-Go Mobile Medical Alert System for Seniors, White Wristband
This device offers one-button activation for emergency calls anywhere on the nationwide AT&T network, making it a strong choice for seniors who frequently go outside their home. Compared to the landline-based Freedom Alert, it provides true mobility, but it requires a monthly monitoring plan that could increase ongoing costs. Its waterproof design supports active lifestyles, and professional monitoring ensures timely assistance and caregiver updates. The limited device features beyond emergency calls mean it’s not suited for users needing fall detection or GPS tracking, but the convenience of activation anywhere is a major advantage for active seniors. This pick suits seniors who want a simple, reliable system to call for help on the go.
Pros:- One-button activation for quick emergency calls
- Supports nationwide coverage via AT&T network
- Waterproof design for active use
- Includes professional monitoring with caregiver updates
Cons:- Requires a monthly monitoring plan and activation fee
- Limited device features beyond emergency calling
- No GPS or fall detection capabilities
Best for: Active seniors who often leave home and need nationwide emergency coverage
Not ideal for: Seniors seeking a device with fall detection or GPS tracking functionalities
- Activation:One-button call
- Network:AT&T nationwide
- Waterproof:Yes
- Monitoring:ADT professional
Our verdict“Ideal for active seniors who want a simple, portable emergency device with nationwide coverage.”
Life Alert System for Seniors No Monthly Fee App-Controlled with Waterproof Wristband and Call Button
This system stands out for its waterproof wrist remote, which allows seniors to call for help anytime without worrying about water damage. Its long-range connectivity of up to 300 feet makes it suitable for large homes or outdoor use, and the smartphone app integration offers caregivers real-time monitoring without ongoing fees—an advantage over systems like the Medical Guardian MGMini, which relies on cellular connectivity and may incur costs. However, it requires a 2.4GHz Wi-Fi network, which could be a barrier in homes with outdated routers. The need for a compatible smartphone and possible subscription for SMS notifications limits its appeal for less tech-savvy users. Compared to GPS-enabled options like the Bay Alarm Medical SOS Mobile, this system is better suited for stationary use but less ideal for active seniors who need mobility tracking. Overall, this pick makes the most sense for tech-friendly families seeking a reliable, no-cost alert system with remote caregiver access.
Pros:- Waterproof wrist remote for all-around safety
- Long-range connectivity up to 300 feet
- No monthly fee for caregiver notifications
- Shared device capability via smartphone app
Cons:- Requires a 2.4GHz Wi-Fi network, which may not be available in all homes
- Additional SMS notifications may require subscription fees
- Limited compatibility with older or non-smartphone devices
Best for: Families with Wi-Fi-enabled homes and caregivers who prefer app-based, no-monthly-fee monitoring
Not ideal for: Seniors with limited smartphone experience or homes with outdated Wi-Fi routers
- Compatible Devices:Smartphone
- Number of Batteries:2
- Control Method:App
- Audible Noise:110 db
- Maximum Range:300 feet
- Waterproof:Yes
Our verdict“This system suits tech-savvy seniors and families seeking a budget-friendly, remote monitoring solution with no ongoing costs.”
How We Picked
To evaluate these medical alert systems, I focused on key factors that matter most to seniors and their caregivers: reliability of connection, ease of use, durability, and overall value. Systems were compared based on whether they support cellular or landline communication, the presence of fall detection and GPS features, and user-friendly design elements like waterproofing and simple activation. Price and maintenance costs, such as monthly fees, were also considered to ensure recommendations suit different budgets. The ranking reflects a balance of safety, convenience, and affordability, prioritizing products that deliver dependable emergency response capabilities while remaining accessible for seniors and caregivers alike.Factors to Consider When Choosing Medical Alert Systems For Senior Citizens
When selecting a medical alert system for a senior, several factors influence the right choice. Understanding these can prevent costly mistakes and ensure safety and peace of mind for both seniors and their loved ones. Consider how often the senior is outside the home, their comfort with technology, and their specific health needs before making a decision. The following factors can help narrow down the best options:Connectivity Type
Deciding between landline and cellular systems is crucial. Landline-based systems are often less expensive but rely on a home phone connection, limiting mobility. Cellular systems, especially those with GPS, support independence but come with higher costs and the need for a cellular signal. Assess the senior’s daily routines to choose the most practical option, considering whether they spend most of their time at home or frequently go outdoors.
Emergency Features
Features like fall detection, GPS tracking, and two-way communication significantly enhance safety, especially for more active or at-risk seniors. Fall detection can automatically alert help if the senior falls, which is critical for those with mobility issues. GPS tracking is essential for seniors who go outdoors often, providing location data for faster assistance. However, these features typically increase the cost, so weigh their importance based on lifestyle and health risks.
Ease of Use
Simplicity is key for seniors who may have cognitive or visual impairments. Look for systems with large, clearly labeled buttons, straightforward activation, and minimal setup. Waterproof devices prevent accidental damage and ensure safety in all conditions. Avoid overly complicated interfaces, which can lead to frustration or misuse, defeating the purpose of quick emergency access.
Cost and Maintenance
Consider both initial purchase price and ongoing costs, such as monthly service fees or device replacement. Some systems offer no monthly fees but may lack essential features like GPS or fall detection. Others include comprehensive coverage but can be expensive over time. Balance your budget with safety priorities—sometimes paying a bit more upfront results in better long-term value and peace of mind.
Durability and Design
Durability factors like waterproofing and robust construction ensure the device withstands daily wear and tear. Compact, lightweight designs improve comfort and reduce the likelihood of removal or damage. Additionally, consider the aesthetic appeal—discreet devices may be less stigmatizing, encouraging consistent use. Remember, a device that seniors are willing and able to wear consistently is the most effective in emergencies.
Frequently Asked Questions
Can I use a medical alert system outside my home?
Yes, many modern systems include cellular connectivity and GPS features that support outdoor use. These mobile options allow seniors to call for help anywhere within cellular range, providing greater independence. However, these systems usually come with higher costs and require a cellular plan. When choosing, ensure the device supports the senior’s typical outdoor activities and that coverage is reliable in your area.
Do all medical alert systems require monthly fees?
No, some options operate without ongoing fees, typically using landline connections or simple call buttons. While these systems can be more affordable long-term, they often lack advanced features like GPS or fall detection. Consider whether basic emergency calling suffices or if investing in additional safety features justifies the monthly costs for enhanced protection.
Are waterproof devices really necessary?
Waterproof designs significantly reduce the risk of damage from everyday accidents like spills or rain, ensuring the device remains functional when needed most. For seniors who wear the device constantly, waterproofing is highly recommended to prevent the need for replacement or repair. However, waterproof models tend to be more expensive, so evaluate whether the added durability aligns with your safety priorities and budget.
What features are most important for active seniors?
GPS tracking and fall detection are especially valuable for active seniors who spend time outdoors or engage in physical activities. These features allow for quicker assistance and location tracking, reducing response times during emergencies. Simpler devices may suffice for less active individuals, but for those with mobility concerns, investing in advanced features can provide critical peace of mind.
How do I ensure a senior will keep wearing the device?
Choosing a comfortable, lightweight, and discreet device encourages consistent use. Devices that resemble jewelry or watches are often more appealing and less stigmatizing. Involving the senior in the selection process and explaining how the device enhances their safety can also increase willingness to wear it regularly. Remember, the most reliable system is one that the user wears at all times when it matters most.
