I think one of the solutions in Rick’s letter might resolve this in the Medicare process.

He suggests that Medicare get their best price and then establish separate contracts for pre and post support of the wheelchair and user. Good idea, and thank you VA for being a practitioner of this process.

Let’s assume that we are dealing with honest dealers both on and off line. That being the case, the source of the wheelchair no longer matters. Medicare could buy it were they prefer, low bid and all. The client/consumer would still get the local services that they required by way of the support contract.

Now, how to convince Medicare?