Your grandmother would save a bunch by owning her own instrument and using touchtone. The new policy of stopping responsibility at the "network interface" is also an issue for many people. The wiring inside the house beyond the network interface is entirely the responsbility of the customer now. Under the original Bell System, the phone company maintained responsibility for that wiring too.
That was in 2001, I don't know if my aunt and uncle or mom was able to rip that POS out of the wall and put a touch tone phone, let alone her own phone period, in place. I had to go to pay phone while there to use phone card to call my then g/f.