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As private equity dominates wheelchair market, users wait months for repairs

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Re: As private equity dominates wheelchair market, users wait months for repairs

#81
post #41
post #32

Earlier quoted context omitted.

In free market it's also OK to cut costs as much as possible, making chair that explode and kill the user one day after the warranty expires. That's why we have regulation: to establish the minimum standards. Simple medical devices like wheelchairs (Class I or Class II) are also not super over-regulated, you don't need to do clinical trials to certify them. All-in-all it'll cost you around $10m, which is not at all a…

> In free market it's also OK to cut costs as much as possible, making chair that explode and kill the user one day after the warranty expires. No, it isn't, because nobody will buy chairs from a company that does that. In a free market, no company can use the get out of jail free card of "but I was following all the regulations". Businesses have to actually meet customer needs. And in a free market, customers can't…

It's all theoretical. Do you see it actually working out this way? When and where?

> regulators just, you know, look at the design of the chairs to evaluate them for certification. But customers could do the same thing for themselves, at less cost (what, you think those government regulators work for free?). So the regulations are actually adding zero value. But they're certainly not adding zero cost.

I have little idea how to evaluate the safety of an electric wheelchair, and don't have the time to acquire the expertise to learn how to do that with everything I buy. But we all can chip in and pay someone, who has the expertise, to do it once rather than than millions of people doing it redundantly.

Re: As private equity dominates wheelchair market, users wait months for repairs

#82
post #10

Private equity discovered that regulations, compliance requirements, & other similar barriers to entry are the most effective 'moats' which allow businesses to raise prices and have little impact on demand; they are now exploiting this 'hack' ruthlessly.

We should be more vocal in our opposition

Re: As private equity dominates wheelchair market, users wait months for repairs

#83
post #10

Private equity discovered that regulations, compliance requirements, & other similar barriers to entry are the most effective 'moats' which allow businesses to raise prices and have little impact on demand; they are now exploiting this 'hack' ruthlessly.

It is not just wheelchairs and nursing homes.

My eye doctor office got bought out. They pay the doctors as little as possible and maximize the number of appointments per day.

Re: As private equity dominates wheelchair market, users wait months for repairs

#84
post #28

Earlier quoted context omitted.

That some people apparently can't see this strat with AI "safety" laws is genuinely bizarre.

How do think we should address security around AI, and the public's control over a major impact on their lives, welfare, freedom, prosperity, etc.

> How do think we should address security around AI

The same way we address security around cars: we don't ban individuals from working on project cars, or driving them on public roads - instead, we have standards for OEMs and individuals, and prosecute negligence.

AI safely is similar to GM lobbying for laws making it illegal to tweak your own car or changing your own brake fluid for "public safety".

Re: As private equity dominates wheelchair market, users wait months for repairs

#85
I deal with wheelchairs, electric wheelchairs, oxygen systems, CPAPs, spirometry, and more every day.

Electric wheelchairs are built to be very rugged and dirt simple.

There are 2 problems:

The first problem is insurance. People expect their insurance to cover everything. If they need a new set of 35 AH SLA batteries, they will throw their old chair away and ask for a new chair on insurance.

The second problem is that wheelchair users are disabled. As an able-bodied nerd with a socket set and a few wrenches, I can repair an electric wheelchair. A disabled person usually can not do that. They can not even follow the (good) advice to use an external charger instead of the (garbage) charger built into most wheelchairs; they physically can not get to the relevant parts.

Home oxygen companies send people out on short notice to debug, repair, or replace home oxygen equipment. If you want insurance to cover electric wheelchairs, then rent them instead of selling them and include service visits.

The problem with shipping an electric wheelchair back for service is that this thing weighs almost 100 pounds without batteries and is a very odd shape. Before anyone complains, you want it to be heavy so it will not tip over when the human (who is high up) leans over, takes a corner, or drives sideways on a slope.

If you want a less-insurance-intensive solution, pass a right-to-repair law that (1) requires all electric wheelchair parts to be marked with a manufacturer and part number, and (2) requires all electric wheelchair makers to sell parts for a decade or two after they stop selling the chairs. If they use industry-standard parts, and mark the parts as such, they should be relieved of the obligation to carry the parts for 20 years. Here's an example: Include a label on the chair saying that all bolts are either m6x60mm or m4x25mm and that all red and black electrical connectors are PP75 series Anderson Power Poles.

Here is a case that drove me nuts: I was dealing with an electric wheelchair that had some odd version of Anderson PowerPoles connecting the batteries and motors. These connectors had been knock-offs, and the reseller of these (Chinese-made) connectors lost a patent lawsuit to Anderson (before their patent expired.) One connector broke and was impossible to replace. I would gladly pay $100 for a single connector, but they do not exist. Before someone says to replace both ends of the connector, this is a connector mounted in a custom bracket with almost zero clearance as the chair's seat fits right on top of the bracket, connectors, and wires.

Re: As private equity dominates wheelchair market, users wait months for repairs

#86

What the article does not seem to mention is that an usual electric wheelchair costs about $65,000 (and is intended to be replaced every six years or so). This and the non-availability of replacement parts is why some wheelchair users started a project to open-source a wheelchair from standard parts: https://themif.org/ Louis Rossmann interviewed the founder of the project here: https://www.youtube.com/watch?v=eaAj59…

This is a great project. I didn't realize that FDA Class I regulations were this easy to comply with.

Re: As private equity dominates wheelchair market, users wait months for repairs

#88
post #18
post #10

Private equity discovered that regulations, compliance requirements, & other similar barriers to entry are the most effective 'moats' which allow businesses to raise prices and have little impact on demand; they are now exploiting this 'hack' ruthlessly.

We've seen consolidation across the whole economy (which have vastly different regulation schemes) so I'm skeptical of it being just regulation driven

Regulation across the whole economy is one of the principle mechanisms of consolidation.

Vested interests sell regulation to the public as a "consumer protection" mechanism, then use regulatory capture as a tool to erect barriers to entry and impose complex rules that supersede common-law jurisdiction while giving them a range of tools to evade liability. The threat of competition is restrained, and a de facto collusive oligopoly can squeeze the market dry.

Re: As private equity dominates wheelchair market, users wait months for repairs

#90

[flagged]

I mean fair, but helping people like that teaches empathy which we're severely lacking in today's world. There is something special we humans experience when helping others for nothing and return and I think that a lot of people are blinded by never experiencing what it means to help others. A lot of arguments are "imagine if it was you", but I think a fairer argument would be "what if it was somebody you like/love"?…

Humans aren't tools and therefore can't be 'useless'. You matter intrinsically. The most important lesson I've learned in life is the need to know and love myself - in a healthy, compassionate way. It doesn't matter what some other people think, what I do for them. I matter and you matter.
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