Decompression sickness practices in lobster diving among the indigenous Miskito people, who face great economic pressures. At that time it was estimated that in the country over 2000 divers had been injured and 300 others had died since the 1970s. In the United States, it is common for medical insurance not to cover treatment for the bends that is the result of recreational diving. This is because scuba diving is considered an elective and "high-risk" activity and treatment for decompression sickness is expensive. A typical stay in a recompression chamber will easily cost several thousand dollars, even before emergency transportation is included.
Surface-supplied diving pulmonary barotrauma (burst lung). Although some of these may occur in other settings, they are of particular concern during diving activities. Long term diving disorders include dysbaric osteonecrosis, which is associated with decompression sickness. These disorders are caused by breathing gas at the high pressures encountered at depth, and divers may breathe a gas mixture different from air to mitigate these effects. Nitrox, which contains more oxygen and less nitrogen, is commonly used as a breathing gas to reduce the risk of decompression sickness at depths to about . Helium may be added to reduce the amount of nitrogen and