I own a bunch of Medfords. Praetorian G, General, Marauder, to name a few. Over built and well constructed. The use of titanium scales help keep the weight down. Clips are stiff and strong, and thus will take effort to clip the knife in your pocket, but then they won't bend or break unless you really want to.
To open some of the blades with a fuller with one hand requires a little practice. You need to reposition the knife in your hand so that your thumb can push out at the point end of the fuller, then follow the fuller to the pivot until the blade locks.
The Vulcan finishes range from "meh" to very cool, but you can't choose (when ordering from the factory) what you get. Best check out a distributor and see what blade options they have.
I think at least 90% of knife construction and finishing is all done in house. Maybe some of the coatings are outsourced. Edges are all hand ground and finished. Fine examples of American craftsmanship.
Check them out on Youtube. Channel is "Greg Medford". When they ready a batch of knives to be sent to a distributor they make a video showing the knives and provide the seller info.
Greg Medford is a good, honest guy. Outspoken and a bit opinionated but not in a bad way in my opinion. You can see his rants on some of his Youtube vids. I've met him a few times. You can feel his passion about knives and life in general. Also a great patriot.
You can order a customized knife from the factory, but be prepared for a long wait. I'm waiting on a couple knives ordered in Feb/Mar of 2016. And they aren't even custom.