In the HAM Radio world we use them. But we also use our own infrastructure. I have mine set to let me know when something happens that needs my attention asap. Only works around my stuff or other HAMs that have stuff tied into our system. So not useful outside narrow circumstances.
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Work has me using my current phone for alerts on my on-call rotation. I asked them to send me a pager instead if I can't properly filter the alerts (Jira on Android has at least 2 sets of notification settings and then there are settings apparently within Jira. I was getting basically every Jira, Confluence, etc. message).
I think I’d like a 2-way pager these days. They were a little ahead of their time because me and most people preferred phone calls to sending text messages but that’s obviously flipped hard over the last decade. I straight up groan when someone has the audacity to call me now lol
So...essentially just because they're cheap?
I can see maybe businesses that don't want/need to buy full-blown smartphones for their employees. These things probably cost $50? vs. $700 for a smartphone.
Hezbolah, apparently.
Not anymore.