Is it viable as anything but subscription service? I mean if you want technical staff with expertise to continue working on it they need to continue getting paid. It's a gamble that your one time payment (however large) will be responsibly managed by the company owners once the flow of new clients dries up. And once you are on the hook what's stopping the company from playing some ads for users tiers platinum and lower?

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st_goliath 13 hours ago | parent | next [-]

Given that MED-EL, the company mentioned in the article, has been around since 1990 and is constantly expanding, I would assume that this is indeed viable.

I live in Innsbruck, Austria, where MED-EL is headquartered. Like most people I know, I too have briefly worked there in 2008. I currently live 5 minutes on foot from where the entrance used to be back then, before it was walled off, they massively expanded the building and added another building behind it, where in 2008 a bunch of office containers with clean rooms used to be. There is now a raised walk way to the other side where they used to rent just a few units back then and now co-opted the building, plus a patch work of smaller rental spaces all around.

The implants themselves are not cheap and (at least at the time?) eventually needed to replaced. From what I recall, some of the technology involved was also licensed out or sold for other applications. Ultimately, I would also guess that all the licensing, approval and red-tape involved in actually making implants for humans also kind of limits competition quite a bit.

	▲	fouc 11 hours ago \| parent \| next [-]
		> and (at least at the time?) eventually needed to replaced. All cochlear implants from any of the cochlear implant companies have a % chance of needing to be replaced. Failure rate is something like 4% in the first 10 years, and 10% in the first 20 years.
	▲	plastic-enjoyer 12 hours ago \| parent \| prev [-]
		> Given that MED-EL, the company mentioned in the article, has been around since 1990 and is constantly expanding, I would assume that this is indeed viable. I think currently it is viable because MED-EL is not a publicly traded company or in the hands of some private equity or some MBA. I know that there are serious concerns how MED-EL will develop when the Hochmaiers are not in charge anymore.

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xeonmc 13 hours ago | parent | prev | next [-]

It's like in Ghost in the Shell where your augmenting cybernetic parts needs to be returned after service periods ends

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gf000 12 hours ago | parent | prev | next [-]

> what's stopping the company from playing some ads for users tiers platinum and lower?

Any sane government

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RobotToaster 11 hours ago | parent | next [-]

Have we had one of those this millennium?

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gf000 10 hours ago | parent [-]

Do you imply we had one a 1000 years ago?

And yes, we currently have quite a few sane ones, especially in the EU. None of them is perfect, but it's definitely the most humane it has ever been by a long shot.

	▲	RobotToaster 7 hours ago \| parent [-]
		I imply that I don't know enough about world governments before 2001 to have an opinion on how sane they were.

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ButlerianJihad 10 hours ago | parent | prev [-]

No, the ads played by medical devices will be entirely self-interest: they will whisper in your ear that it’s time already for your next colonoscopy, and that 988 is available for your crisis, and your 2FA login code is as follows… and remember that flu/COVID vaccines are now available, and don’t forget your PCP appointment that is coming in 23.5 hours! Also you have an outstanding balance of $300,000 so please blink thrice to debit your checking account.

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janeerie 10 hours ago | parent | prev | next [-]

You could share the same concern about any cochlear implant, I suppose. There are three (Med-El, Advanced Bionics, and Cochlear) and all are quite stable and provide great support.

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rafram 11 hours ago | parent | prev [-]

Amazing: the tech industry is so morally bankrupt that it manages to make healthcare look altruistic!