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I think your comment would have been more insightful if you had at least pretended to try to account for labor before saying "They charged me 4000x the cost of goods!".

To be clear I'm not even asking for you to account for the cost of your printer, the 3d scanner, and software licenses in your math. Let's assume that all those are free. How many hours of specialized human time was spent on consultations, scans, design, reviews, to produce working guards for you?

The next question is then, of course, how much do they charge for subsequent guards now that the scan has been done and validated? Is it still 4000x the cost of raw resin?

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I did qualify multiple times that there are costs associated with engineering, So I feel that it it's implied that the 4000x figure is a naive one.

I'm sure labor is involved, and maybe it's a lot, but it still seems like an awful lot of money for a piece of plastic.

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Even if the actual specialist labor had been minimal, there's also the amount of time and effort it takes to accumulate enough knowledge to become a specialist. It's like the joke about spending $200 for a repair guy to come kick your printer in just the right spot to fix a print jam--you pay him $50 for kicking it, and $150 for knowing where to kick it :)
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Yes, they will charge a similar amount for producing another guard from an existing scan - I’ve had that done. It was also completely unnecessary in my case, it’s clearly an easy money grab for some offices.
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With sleep apnea, I highly recommend you look into myofunctional therapy, which is like airway physical therapy. (full disclosure, my mom is a myofunctional therapist). It worked for several friends; They still use their cpap but they get much better sleep after committing to a routine. Not advertising but spreading the word, find someone local!
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I hadn't heard of this. I'll give it a look and see if I my insurance covers it...thanks!
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> All the same, I sleep like 10x better, so I suppose that considering that $600 is a cheap price to pay.

First time?

Price is not determined by cost to produce.

It’s determined by the price a customer is willing to pay.

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Every company operating on that basis is a busniess waiting to be disrupted by a cost-plus competitor.
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The company competing on cost plus is wasting resources by solving problems that arent very profitable to solve
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Every business still operating on that basis has a moat somewhere else.
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Yes this. Either have a moat or be a commodity. Commodities are cost plus
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In a market with perfect price discovery, sure. However, over the years I have learned that even the best products for the job can (and will) lose without the right marketing, sales, distribution, etc.

Sometimes the entrenched default that collects an inertial premium doesn't get disrupted...

But, yes, anyone without a moat who operates with a presumption of retention runs the risk of being knocked off of their perch; their fate left to others.

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As is every individual earning more than median income.
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An important corollary to this rule is that that customer need not be you.
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And the material cost also isn't the main thing you're paying for, it's time and expertise involved in scanning and designing it.
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I suspect the introduction of the infinite-money pits of insurance doesn't help either.

Since I do have the 3D scan of my teeth, I've debated designing my own, but I'm not sure which resins to buy that I could safely put in my mouth every night.

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Even if you find a safe resin.

Might there be microscopic layer lines? Or other unknowns you're not familiar with? Making 3d prints that can be cleaned is non-trivial, maybe there is a surface finish involved, etc.

Also how do you know your design is correct? Won't cause your teeth to move? A 3d scan doesn't mean you know what a mouth guard should look like.

All of a sudden, having a product that's made with a vetted process is pretty attractive -- and 600 USD seems like a bargain.

What's the cost of having your teeth fixed, if they accidentally move? (Not to mention the discomfort, which can be considerable)

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I'm not entirely sure what you're trying to convince me of. I did pay the $600, I even said that it's probably a cheap price to pay to treat the apnea.

That doesn't really change the fact that it feels kind of viscerally wrong to pay $600 to pay for two glorified pieces of plastic, and a part of me still does feel I could clone it competently. I haven't bothered for the aforementioned safe resin, and also because I already have it and I have enough money to just eat the cost and complain about it.

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>Even with insurance covering some of it, it cost me about $600.

Well that's pretty close to how much the entire CPAP system would cost depending on the sale.

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The CPAP actually would have cost me less with insurance! At the time it would have cost me about $400.
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> I know that there's a deceptively high amount of engineering required for these kinds of things

I think there's a deceptively low amount of engineering required for most medical and medical-adjacent tech. The high costs are rooted in pervasive industry-wide centuries-long FUD campaigns.

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> centuries-long FUD campaigns

That dastardly Ben Franklin with his bifocals..

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I’ve tried custom molded mouthpieces for grinding but couldn’t adjust to sleep with them. I notice them and feel the discomfort of it not feeling natural despite it being a pricey professionally manufactured piece. It just feels too artificial. I also wonder about the long term effects of polymers in the mouth for long periods of time daily.
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It took me a couple weeks to get used to it, but get used to it I did. I would still prefer a universe where I didn't have to wear it, but at this point it doesn't bother me too much.

I agree the plastics might be bad for me, but I justify it because I suspect that just continuing with the apnea is almost certainly worse for me, considering how many diseases appear to be caused by it.

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