The VHF with combined AIS display is an interesting approach. While an improvement over no AIS, the tiny screen, lack of an alarm function, inability to determine closest point of approach or time to closest point of approach seem like disqualifying limitations to me. (EDIT...AS ED POINTS OUT BELOW, THE SH2150 RADIO IS CAPABLE OF DETERMINING AND ALARMING CPA AND TCPA. MY PREVIOUS STATEMENT HERE IS NOT CORRECT.) But, as I said, it is better than nothing and if one needs a radio upgrade ,why not choose one with an AIS display. I have a stand alone AIS receiver which similarly lacks the ability to determine CPA or TCPA, but it does have an alarm function that interupts my other activities if a vessel is within target range.
I have found the AIS receiver (with alarm) somewhat annoying within SF Bay...just too many targets. Sailing in the fog is always a challenge but shipping lanes and even ferry routes are well established and, when one needs to cross, studying the AIS and trying to determine CPA or TCPA manually is just too much of a distraction from watchkeeping for me (most of the time sailing alone). Offshore my impression is exactly the opposite...the AIS receiver is a wonderful tool and the alarm function, with a range set at 8 or 16 nm, gives me plenty of time to monitor targets and take action if necessary.
Having said all of that, I am increasingly tempted by the class B transponder since it sends my course, speed, etc. to any other vessel with an AIS receiver. So instead of just me watching out for others, I give others the data needed to watch out for me. The Vesper WatchMate display and an Em-trak transponder seems like a good, low power drain combination. But I am just beginning to gather data and power drain is a big factor for me.