Hacker News new | ask | show | jobs
by HillRat 779 days ago
Without commenting on the specific standards and regulations, the parade of horribles that could go wrong with a powered wheelchair is pretty extensive, when realizing that when a wheelchair goes wrong the user cannot move away from it. Consider the risks of a battery fire you can't escape, a drivetrain that could grab loose clothing around a pair of immobile legs, or a user whose wheelchair dies on an empty street at night at -10°F because it couldn't handle the cold for long enough. This doesn't mean the incumbents aren't fixing the regulations to ensure they've got a manufacturing moat -- this being healthcare, I assume that's exactly what they're doing -- but the FDA definitely has reasons to make sure these are regulated.
1 comments

Do they?

I don’t think the FDA is in a position to asses whether those risks versus the benefits of mobility are an appropriate trade off for any individual.

The FDA is deciding that some people should have no mobility so that others have… what, exactly?

The people who bought $65,000 chairs still could — and they’d be equally reliable. But because one person needs to use it in Alaska, all people need to pay a premium… even if they live somewhere that cold rating is completely irrelevant and adding a needless $5000-10000 to the price.

While there’s a reason to regulate for truth in advertising and basic safety, eg, not catching fire on its own, the actual regulations extend far beyond that into adjudicating personal risk management without clear benefit.

I’m not a fan of technocracy — I think people themselves know what’s best for them.

Under that model, what about the people who can't afford a more reliable wheelchair because insurance is no longer obligated to cover it?
> I don’t think the FDA is in a position to asses whether those risks versus the benefits of mobility are an appropriate trade off for any individual.

Why wouldn't the FDA, which employs experts for that exact task, assess risks? Who is in a better position?

> I think people themselves know what’s best for them.

How can anyone but an expert evaluate the safety of a powered wheelchair?