this post was submitted on 02 Feb 2026
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[–] Jesus_666@lemmy.world 28 points 1 day ago (2 children)

It's also a medical devices being expensive in general issue. If you build something and you want it to get cleared for medical use you need to test the shit out of it and get several kinds of certification. And you need to do it all over everytime you make any change whatsoever. This can easily take two years for every change, even if you just change something trivial.

All of this is to prevent another Therac-25. For the uninitiated: That was a radiotherapy device that, due to design flaws on several levels, could inadvertantly be turned into a literal death ray. Several patients died because of this. In the aftermath, the regulations for medical decides were tightened considerably.

That's a major part of why medical devices are so insanely expensive. Much of what you're paying for is a titanic amount of certification work.

Unfortunately, this also makes it harder to implement a right to repair for these. Few people want to figure out who is responsible when e.g. a CPAP device that someone repaired themselves fails. The current approach is to make it damn near impossible for the manufacturers to screw up but that's a lot harder when the device can ever be in a configuration that hasn't been extensively tested and certified.

[–] infinitesunrise@slrpnk.net 2 points 14 hours ago* (last edited 14 hours ago) (1 children)

I don't buy the "testing makes it so expensive" rationale unless I see the actual source numbers. Every bicycle made in Europe, the US, or Taiwan goes through an extensive ISO-defined testing process that is every bit as rigorous as that of a hearing aid yet somehow they all arrive in shops with reasonable sticker prices, and they often have production runs with smaller numbers than those implants. Yes testing will obviously increase cost, but show me the paperwork for the process that brings a single hearing aid part to $23K. It doesn't exist. The goldfish is merely growing to fill the bowl, and the bowl is private insurance.

[–] Tollana1234567@lemmy.today 1 points 10 hours ago

it was a choclear implant, its likely is more complicated than a simple hearing aid.

[–] HugeNerd@lemmy.ca 8 points 1 day ago

The fact it makes everything expensive and proprietary is just an unfortunate side effect.