In a different thread (about the status of the 955) a poster said that his Apple Watch directly calls 911 as well as his emergency contacts. I've heard from someone else that their Apple Watch also called 911, and their emergency contacts got to trace their route after the ambulance picked them up and brought them to the hospital.
But Garmin's devices don't call 911 directly; they only call the emergency contacts. (Yes, technically it's the paired smart phone that does the calling. That's not the point of this question.)
I had heard that 911 didn't want to deal with automated calls and texts, but apparently Apple has figured out a way around it. So the question is "why hasn't Garmin also figured out how to call 911 directly?"
(A follow up question is for Apple Watch users, how well does calling 911 work in other countries? Most countries apparently have different numbers (https://en.wikipedia.org/wiki/9-1-1). Does the Apple Watch connect to the proper service in those countries, too?