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 diving some cases, particularly in technical diving, more complex decompression procedures are necessary. Decompression may follow a pre-planned series of ascents interrupted by stops, or may be monitored by a personal decompression computer. These include debriefing where appropriate, and equipment maintenance, to ensure that the equipment is kept in good condition for later use. Buddy and team diving procedures are intended to ensure that a recreational scuba diver who gets into difficulty underwater is in the presence of a similarly equipped person who understands and can render assistance. Divers are trained to assist in those emergencies specified in the training standards