Skype Gateways for Local Calls?

cgenman asks: "My girlfriend is currently living abroad, but needs to make calls here in the States. I'm investigating Skype to phone gateways, but none seem to allow the person who is trying to Skype in remotely to initiate calls on the local phone network. What experiences have people had with Skype gateways which give remote people full local access? Are there other setups better suited for this purpose?"