Alex, as one who carried one of those Monroe County digital pagers for several years, I pretty much agree with your assessment. I am not 100% with you on the future prediction, but past and present is correct.
One of the things that a lot of folks don't know is that when an agency is alerted for a fire or ems call, a short version of the CAD event is sent to each and every pager that is programmed for that agency.
Between that, multiple group paging, the ability to hit a pager or group of pagers from any pc with a modem, and on and on, it is easy to understand how Monroe County became so reliant on the digital pagers.