alt Hacker NewsI have no knowledge of this specific product area but wondering what aspect of the wheelchair in the photo results in this seemingly high cost? (to note, I understand that this is still far cheaper than other wheelchairs). Is it the material cost? It looks like it's just a few pipes, a cushion, and a pair of wheels. About the same build as a basic bicycle.
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First, have you purchased a bicycle? "High quality" bicycles start at $1,000. (quality dimensions = weight, comfort, durability, flexibility)
Second, small scale manufacturing is expensive.
Third, large-scale manufactured wheelchairs have the same problem as the rest of the medical equipment world: prices are subsidized/inflated by insurance.
It's a relatively small market so the up front capital and ongoing labor costs are probably pretty restrictive. Those parts are more expensive than you realize though with the wheels being the most expensive part if I had to wager, they're critical, specialized, and need to stand up to a lot of abuse.
You also lacks knowledge of bikes: a bike built from similar materials, at a similar quality of craftsmanship and weight would cost you north of $5k.
Mostly the machines the factory uses. You can cut tubes by hand and drill those holes, but the machines are more accurate and faster. However those machines will cost you in the million range each in some cases. (the $1000 Chinese versions for home use are kits that will cost you $10k to make accurate and the quality means they will wear out fast so while find for building a couple they are more expensive than the million dollar machines in the long run) That investment needs to be amortized across whatever you build and wheelchairs are not high volume.
You can't go with cheaper less flexible machines either because each wheelchair needs to be somewhat custom fit. That in turn means you need to the more expensive machines instead of simple jigs that. They also need someone to program the machines for your custom fit (or software to create that program)