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.
Scuba set carry larger sets of three or four cylinders and most rebreathers. Additional cylinders for decompression can be sling mounted at the diver's sides. It is also possible to use a plain backpack harness to support the set, either with a horse-collar buoyancy compensator, or without any buoyancy compensator. This was the standard arrangement before the introduction of the buoyancy compensator, and is still used by some recreational and professional divers when it suits the diving operation. Surface-supplied divers are generally required to carry an emergency gas supply, also known as a bailout set, which is usually back-mounted open circuit scuba