The heaters are actually just as "reliable" as a tank type heater or even more so. The heating element that could "lime-up" is the copper or now stainless steel heat exchanger and because it only sees use while the unit is running (vs holding water for 24hrs a day) it actually stays fairly clean. The material is also different than a cast iron boiler or a steel water heater tank. It is more resistant to corrosion and scale. This heat exchanger is also modular so if it needed to be replaced, the job is comparable to changing an element on an electric heater. The other upside is that if the heat exchanger were to clog or restrict flow, the unit will sense this and throw an audible alarm combined with a code that can be read by the homeowner or servicing plumber. This takes the guess work out of diagnosing a problem... This is fixed by rinsing vinegar through the unit with special taps that are on the heater for this reason. This can be done by the homeowner prior to a service call and walked through over the phone. This is also recommended every 6 - 12 months if you are on a well system without a water softener etc or in an area with hard water. ...