If you're truely going off the grid and want realtime coms available there is no alternative to Iridium.
An EPIRB is great if you just want to be found.
Argument against Globalstar is that it is not a true polar to polar real-time solution like Iridium.
Iridium is the only constellation where you will always find a bird overhead anywhere on the globe (with a ground station relay)
Realistically, Iridium has occasional (~5min) signal gaps likely due to the aging constellation (based on my own use cases developing with a roof mounted antenna)
If your GPS can get a fix, you can probably find enough signal to send a SBD.
Iridium carrier signal is stronger than GPS.
Likely the satphone is better, but there are still limits.
Why not? There are all kinds of Emergencies. Some trees are fairly easy to climb.
Another problem with that is the current public perception often is that their phones contact space. I hear this over and over again. It is interesting. Drive by cell phone towers all day and still think your iPhone is "going to space" when it is loading slow. There is a Louis CK bit about this on Conan's show. I wonder if that kickstarted part of the misconception
Have you seen the Louis C.K. bit the parent is referring to? It's a joke, but the joke is that people are annoyed with their phone being slow despite it "going to space".