A system, device, and method for remote monitoring and servicing uses a gateway to collect user information, such as physiological, audio, video, and proximity information. The gateway processes the user information locally, and may send the user information or other information, such as alarms, to remote service providers through one or more head-end servers. The gateway also allows service provider information, such as audio and video information, to be conveyed from the service providers to the users. The gateway may output video information on a predetermined television channel, and may output audio information on the predetermined television channel or to a wireless remote controller with in-built speaker. The gateway may receive audio information from the user via a wireless remote controller with in-built microphone. The gateway provide for videoconferencing between the user and one or more remote service providers.