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 skills her breath during ascent, which can occur during an emergency free ascent. As lung overexpansion injury is potentially life-threatening, entry level diver training emphasizes developing the habits of not holding one's breath while diving on scuba, and slow continuous exhalation during simulated emergency swimming ascents. Techniques for clearing blocked Eustachian tubes during ascent are also generally taught at entry level. Uncontrolled rate of ascent can increase risk of decompression sickness and lung overexpansion injury even when diving within the no-stop limits of the decompression tables, so the skills of buoyancy control during ascent are important for diver safety and are