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 assembled as an integrated part of the set, but is not technically part of the breathing apparatus. The cylinder is usually worn on the back. "Twin sets" with two low capacity back-mounted cylinders connected by a high pressure manifold were more common in the 1960s than now for recreational diving, although larger capacity twin cylinders ("doubles") are commonly used by technical divers for increased dive duration and redundancy. At one time a firm called Submarine Products sold a sport air scuba set with three manifolded back-mounted cylinders. Cave and wreck penetration divers sometimes carry cylinders attached at their sides instead,