We ditched SBC/ATT about 1 year ago and signed up with SunRocket. The first Gizmo (device you hook up to the cable modem and phone) wasn't the greatest but the current one has been working great (over 5 months).
We were averaging $100 a month with SBC, called Canada, Far East countries regularly. With SunRocket, all US/Canada calls are included. We get $3 free international calls a month. At 3 cents a minute, $3, isn't too bad.
We haven't had a chance to use emergency 911 but it IS provided. We have prepaid cellphones in case of extended power outtage. By the way, it's easy to convert all your house phone jacks to use with the VOIP. Be sure to disconnect the line to your phone company at the outside junction box first!
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