this post was submitted on 26 Sep 2024
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We probably shouldn't let people repair their own brake pads but that's another argument. Not enough people die from randoms repairing their own brake pads. Repair an insulin pump the wrong way and it will absolutely kill you. Oxygen masks, CPAP machines, pace makers. So many medical devices that people rely on for life or death care.
I'm all for right to repair. But having seen some of the thing people have done to repair safety items I have serious doubts about the efficacy of someone repairing something wrong and killing their grandma. I can appreciate that not everyone feels the same way. I can appreciate that there are absolutely people out there who can and do repair their own devices, cars, machinery etc, and they may do it well. But there are always going to be people out there who don't know what they're doing but will try and then we'll hear about them on the news because they touched a capacitor or something.
What kind of auth-dystopian nonsense is that?
You're just as dead if you can't get that insulin pump repaired or replaced because the manufacturer won't or can't support it. When they go bankrupt because other customers have sued them into non-existence, you still own the device they manufactured, and you still need it repaired.
Further, you presume the manufacturer can provide the best repairs. It is entirely possible and plausible that a competing engineer or programmer can improve upon the device, rendering it safer or providing superior operation. Car Mechanics can install a better braking system than the cheap, generic calipers and pads provided by the factory. Repair technicians can replace generic parts of medical devices allowing superior operation.
If you've got a broken insulin pump, assuming you're in a country with a functioning healthcare system, you should have been given a spare pump with the original, and probably some insulin pens, so when one breaks, you fall back to the spare, and get given a new one to be the new spare (or could get the broken one repaired). Using the spare is completely safe.
If you don't have a spare, your sugars would go up over several hours, but you'd have a day or two to get to a hospital and potentially several days after that for someone to find you and get you to a hospital, so it's not safe, but also not something you'd die from if you had any awareness that there was a problem.
If you've got an incorrectly-repaired pump, you could have it fail to give you enough insulin, and end up with higher sugars, notice the higher sugars, and then switch to the spare. That'd be inconvenient, but not a big deal. However, you could also have it dump its entire cartridge into you at once, and have your sugars plummet faster than you can eat. If you don't have someone nearby, you could be dead in a couple of hours, or much less if you were, for example, driving. That's much more dangerous than having no insulin at all.
Prosthetic legs don't have a failure mode that kills you, so a bad repair can't make them worse than not having them at all, but insulin pumps do, so a bad repair could.
I'm glad you mentioned insulin pumps, because there is a community of developers working on pumps, making them available to a broader audience, providing more people with better control over their blood sugar levels than manufacturers are willing or able to provide on their own.
https://openaps.org/
What you are arguing for is a threat to systems like OpenAPS, and to the people who benefit from them.
I'm not arguing for anything in the post above, just pointing out that a broken (or badly repaired) insulin pump is genuinely more dangerous than having no insulin pump. That doesn't have to count against the right to repair one, as if you've got the right to repair an insulin pump, and do so badly, it doesn't mean you're legally forced to use it afterwards, just like I've got the right to inject all the insulin in my fridge with an insulin pen back to back, but I'm not legally forced to do so.
I do think the right to repair should be universal, but as I think that medical stuff should be paid for by the state, NHS-style, that would end up meaning that the NHS could repair medical devices themselves if they deemed it more economical to do so and recertify things as safe than to get the manufacturer to repair or replace them. The NHS is buying the devices, and gets the right to repair them, and that saves the taxpayer money, as even if they don't actually end up repairing anything, it stops manufacturers price gouging for repairs and replacements, and if the manufacturer goes bust or refuses to repair something, there're still ways to keep things working. It doesn't mean unqualified end users can't use their new right to repair their medical devices and risk getting it wrong, but if you've got an option of a free repair/replacement, most people would choose the safe and certified repair over their own bodge.