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fotta10/01/202410 repliesview on HN

Custom fit lightweight wheelchairs are expensive. My Ti-Lite (one of the most popular lightweight chair brands) Aero Z starts at $3k and goes up quickly with wheels and backrest and casters and various other options that I need for sitting 16 hours a day without creating more problems. Insurance covers this for me every 5 years, but of course that's not a luxury every one has. Most plans don't cover DME 100%.

What Zack and Cambry are doing is great.

(edit) I’d like to add that I think part of being able to drive costs down is that they’re not offering these via insurance so they sidestep the need for FDA approval to market it as a medical device (hence the company name), CMS approval and HCPCS coding and all the regulatory costs that come with that.

Now don't get me started on power wheelchair cost...


Replies

rs2510/02/2024

I just want to add some context here because i feel like there is a large gap in understanding of what a wheelchair actually is. Please click through these and get an understanding of the level of detail required to be properly fitted for a wheelchair.

https://permobilwebcdn.azureedge.net/media/hylifiyf/creative... - note the clinical rationale and notes sections on each of these options.

https://permobilwebcdn.azureedge.net/media/4ozh2ary/tilite-s... - seating cushions and backrests

https://permobilwebcdn.azureedge.net/media/npxlfuoh/tr-tra-o... - current ti lite order form.

https://permobilwebcdn.azureedge.net/media/hjvhuqlw/tilite-p... - component list / prices. There are almost 11,000 individual parts that are available for purchase for years after the chair is sold so it can be supported through the expected life of 5 - 7 years usually.

And through all of this you are working with professional therapists that are trained to properly size all these measurements, because an ill fitting chair can cause more harm than good.

bradley1310/02/2024

A manual wheelchair is less complex than a bicycle, and I can get a decent bicycle for a few hundred bucks. The fact that basic wheelchairs are crazy expensive has little to do with the chairs and a lot to do with insane bureaucracy.

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humbleferret10/01/2024

I was curious so looked at a few power wheelchairs...It's wild how expensive they are, especially considering the advancements in electric mobility tech elsewhere. You'd think they'd share some components with e-scooters, e-bikes, or even electric cars – motors, batteries, controllers.

Are the powertrains and control systems in power wheelchairs really that specialised? Or is it another case of the medical device markup and regulatory hurdles driving up costs?

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zeroq10/02/2024

I'm a big fan of his channel, but when I saw the price tag, it got me thinking for a moment. Wheelchairs are a great example of why niche products are expensive.

I think you're spot on with certifications.

I was stupid a few times and needed orthopedic equipment. Each time, the price flabbergasted me. But it didn't matter since the health insurance fully refunded it.

In a regulated market, if you can influence the cap, the item will cost exactly that, no less. And if the market is small enough to not allow any disruption, then it will stay that way forever.

I need to talk to my girlfriend who's a physiotherapist about it. But for now I'm hoping his YouTube fame would start a snowball effect.

Thinking he could do with the wheelchairs what Elon is pretending to do with EVs is truly exciting.

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gibrown10/01/2024

Ya, I was expecting to see something not very impressive at that link, but was pleasantly surprised. My chair is about $7k and while this one doesn't look like it would work for me, it is definitely much better than the cheap hospital chairs.

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sizzle10/02/2024

What do you recommend for my parent, they are using a crappy Medicare approved Medline wheelchair that’s like $300 on Amazon. They can’t use their right side of their body really due to a stroke paralysis.

The wheelchair is like starting to fall apart. What should I I get them that will last many years? Thanks!

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interactivecode10/03/2024

So about the price of a Herman miller chair. Honestly sounds pretty reasonable to me. Though ideally it was less so price doesn’t limit access

Narhem10/01/2024

Anything medical becomes a licensing nightmare. With how expensive power wheelchairs get I’m shocked they don’t come with a flight box.

tomcam10/01/2024

Hey, would you get started on power wheelchair costs? Inquiring minds would like to learn more.

space_oddity10/02/2024

Device so essential to daily life is treated in such a costly, bureaucratic manner