It really comes down to a couple of things. One is your cell service level in your house. Is it good? When I lived abroad, it was so good, I never needed a land line. In my home here, it is so poor, I couldn't consider it. Two: do you want a package with an internet, tv and phone package? Does it make sense where you live? In our neck of the woods, we can't use a satellite, so cable is the only game in town and internet is best that way too. Adding a cable phone as a third line for international calling and fax made sense for us...and we needed it for the poor cell service. So, we have both cell and cable. Now, we have cable issues with a lot a electrical storms, so we also keep a bare bones telephone company line as well. It all comes down to location, location, location.