My DGM has a neck alarm (about a fiver a week) and she would pay for this happily.
It's not disgusting, it's an extra care service that is aimed at reducing the number of 999 calls and the burden on our massively stretched NHS.
It's to cover the cost of a carer attending if someone falls but is otherwise uninjured. If they are injured, the carer would still call an ambulance.
Council's are also massively struggling, particularly to cover the cost of adult social care which takes up a huge chunk of their hugely reduced budgets.
It's not something the council can offer for free, but it is something they can offer at a relatively small charge to reduce otherwise unnecessary 999 calls.