Are you looking at "hospital" style wheelchairs, or dedicated use wheelchairs? The difference is huge. Those hospital style, one size fits all chairs are HEAVY, clunky, slow, and tire you out very easily if you don't have someone pushing you. Someone with a spinal cord injury or a variety of mobility constrants would be better off in a dedicated chair like this as they are lighter (sub 20lbs), designed to fit to the user, and offer more comfort which combats things like skin wounds.

If you look at wheelchairs from companies like TiLite or Quickie, you are starting off at almost double this price before any customization (rims, guards, etc). $1000 all in for a dedicated wheelchair is fantastic.

> What am I missing in this $1K “affordable” wheelchair idea?

Truckloads of paperwork, at least in the EU. Wheelchairs are regulated as "medical devices" since 2017, which does make sense given that people tend to spend a large portion of their day sitting in them and that they tend to be on the upper end of the body weight distribution... but the certifications make them much more expensive than they'd need to be, and they also prevent competition from entering the market.

Additionally, laws of scale apply here as well. Wheelchairs are a pretty bespoke, small scale industry - outside of large orders from civil protection agencies to be used in mass evacuation scenarios (the German THW and Red Cross for example have stockpiles, mostly used in foreign aid/crisis response and WW2-era bomb evacuations), every user has their own specific needs, making mass production all but infeasible.

From the article:

> When I first heard about this, it sounded awesome and a bit far-fetched. It’s hard to find a pair of quality wheelchair wheels for less than $500. Same with a rigid backrest. How were they going to offer both, plus a custom wheelchair frame without compromising on quality?

I have no idea though. Maybe there are sort of like… different classes of wheelchair, and they are trying to make not-terrible one? Like technically $5 headphones exist but not from a hobbyist point of view.

You can get perfectly viable inexpensive bicycles as well - but if you were expecting to replace ALL of your other vehicle transport with a bike would you start by looking at ones with welded steel frames? The classic 80s Schwinn 10-speed that weighs in at 40 pounds but is pretty indestructible?

That's a $500 wheelchair.

$500 buys you a decent enough but hardly "happy to live with" indoor chair. Not the kind of chair that you go shopping in.

Insurance approved I think is the key differentiator.

Most of them are under $200 in Amazon