Assistive technology costs are high because consumers barely have an alternative. I am blind. In Europe, a 40-cell braille display starts a 6k. 6k, just for a monitor which displays 40 characters. Prices are largely unchanged since 20 years. Technological advancements are irrelevant. Resellers will squeeze the cow, thats plain capitalism man.
If you don't mind educating a curious person — why are Braille displays still worth making when text-to-speech is free, everywhere, and communicates information much more quickly than Braille? I can understand that there might be special situations where you really need a device to be silent, but it's hard for me to see how the cost-benefit tradeoff would weigh in favour of a Braille display except in the rarest of circumstances.
Just from googling -- an orbit reader 40-cell appears to cost $1,700 USD, is there a reason this doesn't actually solve the same problem as the 6,000 euro display, or are these not available in your market for that cost? Sorry if my question is off the mark, I don't know a lot about this and your comment piqued my curiosity.
If that is the case, then there seems to be a place in the market for someone else who can sell these devices for cheaper.
However, as you have pointed out, since it is also a market where people have few choices, there is no incentive for any new player to significantly lower the prices. Even if they easily could. Because they know that they will get the customers anyway.
That seems to be the root cause of the excessive price problem. An existing oligopoly of rent-seeking companies. Or a cartel, if you like.
I think that one of the ways to disturb this market and bring the prices down is for some honest company to join it and price their products fairly.
Once there is one such company, I assume that everyone else will lower their prices as well. Because otherwise they will run out of business.