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.
Ratio decompression by the body from breathing gases under pressure has never been definitively established, particularly in relation to the formation of bubbles in the body's tissues, and a number of different algorithms have been developed over the years, based on simplified hypotheses of gas transport and absorption in body tissues, modified to fit empirical data, to predict the rate of off-gassing to reduce the risk of decompression sickness in divers to an acceptable level. However, these models do not describe the individual physiology of the diver accurately: divers have been known to suffer symptomatic decompression sickness whilst diving within the limits