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The NHS believed that people would want discretion in their vision correction—the social humiliation generally thought to be incurred by wearing rimless glasses meant that no one would want their glasses to stand out. So there was one form of metal glasses made for everyone. Today, that sounds ludicrous.
Meanwhile, no one has yet to build a leg that does it all—I have to change legs when I want to wear high heels; I have to change legs when I want to wear different height high heels; I have to change legs when I want to swim, take a boxing class at the gym, or sprint on the track. I have 12 pair in all (though many are housed in museums).
Until that functionality is matched with one single prosthetic, you want to be able to have the fullest quality of life as deemed by you. For some people, it will never be important to swim, or wear a pair of high heels, or to have a prosthetic limb with a cosmesis that really replicates humanness. But for others, those things could be very important. For some people, like me, some of those things are important only some of the time.
In my functional daily arsenal, I have a general rotation between what I call the "Robocop" legs (Re-Flex VSP Legs made by Ossur) and my cosmetic, very life-like legs (by Dorset Orthopaedic).
As if we weren't already aware of the dire state of the American healthcare system, the lack of prosthetic opportunity and choice for most people is due to very limited coverage by insurance companies. To be frank, since my teenage years, I have pursued each and every opportunity to be a guinea pig, trading the use of my body as a testing ground for new technologies for the privilege of using them. Not one pair of my legs is covered by insurance; not one pair of my legs is considered "medically necessary."
What is considered medically necessary for the American insurance standard is whatever gets you from the bed to the toilet. I am not kidding. No other aspect of daily living other than using the bathroom is considered "necessary," which means your basic prosthetic given to most amputees—a stick with a rubber foot as a leg, or a stick with a hook on the end as an arm, has fundamentally not changed since WWII.
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