I am a home healthcare nurse and I often use many different pill cutters. This is my favorite style of pill cutter. I like the design of this particular pill cutter because it has a long chamber where the pill is placed that starts wide and ends thin to ensure that all size pills can be cut. I have yet to come accross a pill that does not fit in this device. The thin bottom portion of the pill cutter ensures that the pills stay in place while they are being cut, but certain pills do, on occasion, end up with small crushed pieces instead of two even halves. This occurs most often with "softer" types of tablets like certain chewable tablets. The blade stays sharp for thousands of uses and there is a small plate at thebottom of the cutter that catches and crumbs or debris so that they can be easily disposed of without making a mess. This pill cutter does not have a pill crusher attached to it, but it is small enough that it can be easily and discreetly packed in a purse or cosmetics bag for travel. It is also reasonably priced.