Well, after trying this program out for the last couple of weeks, I bit the bullet and bought the full version of it ($250).
It includes navigation for North America, will play media (audio/video), Bluetooth handsfree phone, Satelite radio with either XM or Sirius (I also ordered an XMPCR XM tuner for the PC).
It seems like a great program. Say you're driving down the road, listening to the satelite and you have a turn coming up. The program will pause the radio, speak the turn directions, then resume the radio. It will also do the same if you get a phone call.
I don't have an array mic to use the bluetooth part yet. Maybe sometime down the road. I've already got a bluetooth headset, so that's not a big deal.
Tomorrow I'll give it it's first navigation test on my trip from Fairmont, WV to York, PA.