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Father builds exoskeleton to help wheelchair-bound son walk

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Re: Father builds exoskeleton to help wheelchair-bound son walk

#191
post #126

Earlier quoted context omitted.

It gets better/worse. NHS provides universal cover for a lower per capita cost than Medicare/Medicaid covers the portion of the US population it covers.

Isn’t that a bit unfair of a comparison, since Medicare disproportionately covers the elderly who have higher medical costs, while the NHS serves the whole population?

I think you misunderstand me.

The cost of Medicare + Medicaid divided by the number of people in the US - not the number of people covered by those services, has tended to be higher than the cost of the NHS divided by the number of people in the UK.

EDIT:

According to CMS[1], Medicare cost $799bn in 2019, and Medicaid cost $613bn in 2019. The Census bureau gave 328 million people in 2019 [3], or ~$4300 per person for Medicare and Medicaid whether or not they are covered.

According to Kings[2], the NHS cost 150bn pounds in 2019, or ~$208bn (I've not taking into account exchange rate changes). ONS gives mid-year estimate of 66.8m for the UK in 2019 [4].

Which gives $3113 for NHS per person, all of whom are covered.

The point is that if Medicare and Medicaid were allowed to work in the same kind of regulatory environment as the NHS (e.g. Medicare is legally prevented from negotiating best prices for some categories of cover), and was equally efficient, then you ought to be able to take the same budget and extend Medicare cover to every citizen of the US without paying more.

In fact, you'd have 33% more per resident to cover e.g. salary gaps without touching the Medicare/Medicaid budgets.

Americans are effectively paying twice, as money paid in private insurance is at least the same amount over again. It's bizarre to me there are no riots in the streets over this - current US healthcare regulation is corporate welfare to insurers and healthcare providers at the cost of regular people.

[1] https://www.cms.gov/Research-Statistics-Data-and-Systems/Sta...

[2] https://www.kingsfund.org.uk/projects/nhs-in-a-nutshell/nhs-...

[3] https://www.census.gov/newsroom/press-releases/2019/popest-n...

[4] https://www.ons.gov.uk/peoplepopulationandcommunity/populati...

Re: Father builds exoskeleton to help wheelchair-bound son walk

#192
post #63

This is amazing. I built one to help my nephew walk, and now selling commercially ( http://trexorobotics.com ) I am fed-up at the lack of options available to individuals. People thought that everyone will get an exoskeleton and be able to walk with it everywhere. But the industry ran into many challenges. A big one that many dont understand is getting insurance coverage. The way the US healthcare system is designed,…

What a truly awesome product and mission. Inspiring, to say the least. Are you hiring software engineers?

Hi, we are hiring, can you please message us at jobs@trexorobotics.com and just put hackernews in the subject.

Re: Father builds exoskeleton to help wheelchair-bound son walk

#193
post #188

Earlier quoted context omitted.

Can you recommend the specific model of the wheelchair you ordered?

This is the one I bought (not affiliated with them): https://smile.amazon.com/gp/product/B082NN972S I called up the seller to buy more spare batteries and they said the 2 batteries the chair comes with, are under warranty for 1 year. And they should last another 2-3 years easily even with heavy use. So there's no point in buying spares now since the spares will lose the ability to charge over the same time. We have b…

Thank you, this is something for my grandmother, who finally thinks about swallowing her pride, but gaining some independence again.

Re: Father builds exoskeleton to help wheelchair-bound son walk

#194
post #81

In today's culture wouldn't this be considered "ableist"? Aren't we internalizing the idea of being "disabled" to this kid and thus dehumanizing him by building a machine that "corrects" his inability to walk? I've seen similar arguments from the deaf community about hearing restoration as "correcting" something when nothing is "wrong". FWIW I think this invention is awesome.

I think these kinds of questions are very personal. I had a close family member who couldn't walk. She didn't make her inability to walk a part of her identity, it was just something annoying she had to put up with. I doubt she would have been upset about gaining the ability to walk. The only time I've heard these types of questions are around people who are deaf. I suspect that the issue is a complex one of language…

> It's too bad that the hn downvoters are hitting your post so hard,

It's OK, I don't mind - plenty of karma.

I agree it's worth discussing because it's a bigger topic than a lot of people might realize. There's a lot of these types of ideas making a lot of progress in the university right now and they don't intend on being confined to them as theoretical. And in some cases they may have good points and in others maybe not.

Re: Father builds exoskeleton to help wheelchair-bound son walk

#195

Earlier quoted context omitted.

Why abolish patents rather than just fix their implementation? Patents are very important. Without them, incentive to bring things to market falls as all your hard work of designing and creating something can just immediately be taken and reused by others. This encourages everyone to sit around and wait for others to make something first, and then punishes the one who does. Why not instead rework patents so that they…

Is 20 years a bit much though?

I get to see patents expire in my lifetime, that is good enough.

Re: Father builds exoskeleton to help wheelchair-bound son walk

#196

I've been making my own, purely as a pipe-dream to have some hope of walking again, it's not easy but I'm hoping it'll be a better fit than consumer ones, and probably cheaper. I feel like we've made leaps and bounds in prosthetics this past decade but orthotics and exoskeletons haven't been following the trend for some reason. As an engineer I imagine there are some significant design constraints that make it hard b…

I think both exoskeletons and prosthetics suffer from similar issues. To reach affordability, you need unit volume. To get unit volume, you need an initial user segment capable of paying what such a device currently costs. In computing, for example, there's always someone willing to pay for bleeding edge, which then paves the way to price reduction. With these, there just isn't much daylight between prices where basi…

I live in the EU, and I surprised to discover that insurance companies themselves are interested in funding those exos themselves. The total medical bill of a paraplegic person a or the course of its whole life can get very high. Recent clinical studies appear to show that time spent standing could really improve the health, to a point that "investing" into an exo for their patients could become worth it.

Re: Father builds exoskeleton to help wheelchair-bound son walk

#197
post #159

Boston Dynamics should be making one of these. It fits really well with their expertise and is much better for them to be making these rather than robots that get sent to wars.

I'd love to see that! I tend to think that some of their technical choices on Atlas would have to revised, though. Having hydraulic actuators (very good power/weight ratio) makes the robot quite noisy, which is fine for a robot, but less cool if there is someone stuck inside it a whole day

Re: Father builds exoskeleton to help wheelchair-bound son walk

#198

Just want to flag that, in addition to all this fun and exciting new tech for disabilities, we really do just need better basics. As the partner of a wheelchair user, these exoskeletons are a great toy to have on the horizon – but the promise of this has been around for a long time, and while the hope of a better future is exciting, we need change on a much quicker time scale than this. (Not saying people shouldn't b…

I agree. I think the problem is that most people don't see (why would they?) the problem areas. Wheelchairs! What a pain. Try find one that answers a different need? It's impossible or super expensive. I have been pushing and pulling family members for years, across gravel, snow, rocks, stairs. Idea! Mountain bike. I wanted to find one with mountain bike tires. Seems easy. Not at all. I finally bought a cheapo fat bike mountain bike, removed the wheels with the axles, and mounted them to a normal wheelchair. It's amazing. We go off road. Across rocks and gravel. Into creeks. But you can't buy one.

Re: Father builds exoskeleton to help wheelchair-bound son walk

#199

> "Ten years from now, there will be no, or far fewer, wheelchairs," he said. I wonder how much money he'll put on that.

I share your skepticism but I wouldn't question the conviction of a guy who built a company and worked on this project for 10 years to help his son walk again.

I don't question his conviction, dedication, or cause, just his prediction, which I believe is extremely unlikely.

Re: Father builds exoskeleton to help wheelchair-bound son walk

#200
To be frank, you used the "deductible" as a lie, to make people believe it's for the wheelchair and insurance is evil. In fact, the annual deductible is part of every health insurance policy and has nothing to do with the wheelchair. Btw, you're pretty darn lucky to have such a low deductible, especially for a married couple (or family).

P.s.: insurance companies are pretty evil, but that's another story

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