1. Chandler should allow Sunrise’s Guardian division to introduce the lightweight standard wheelchair even though there is concern that it might compete with Sunrise’s Quickie division. There are many reasons for this. First, due in part to Medicare’s recent recognition of the lightweight standard wheelchair category, the annual U.S. sales of $70 million in this category is expected to grow 15% annually. Second, Quickie and Guardian both penetrate the distribution channels in different ways. Quickie sells its products through rehab suppliers, and caters to new users and younger, active patients. Guardian, on the other hand, who caters to the elderly, does not sell its products through rehab suppliers. If Guardian introduces the lightweight standard …show more content…
wheelchair, it can cater to the elderly, with little to no competition from Quickie. Furthermore, since the lightweight standard wheelchair is preferred by the elderly, it lies is Guardian’s territory. Quickie also sells through general HME dealers, but concentrates on only the large dealerships that accounted for the bulk of volume. Guardian on the other hand calls all general HME dealers to promote its non-wheelchair lines. If Guardian introduces the lightweight standard wheelchair, it could target the smaller dealerships, without affecting Quickie’s sales. The med/surg distributors have two representative manufacturers which are Guardian and Invacare. With only a 20% product volume for lightweight standard wheelchairs, analysts “observed that the new Medicare guidelines might lead to greater demand for lightweight standard models in this channel” (McGahan p4). Since Quickie is not a representative manufacturer, there will not be competition between both the Sunrise divisions.
Third, according to Chandler, Invacare tries “to supply 100% of their dealers’ needs under the “One Stop Shopping” program” (McGahan p6). In essence, it provides volume discounts to dealers. Quickie and Guardian do not do this. If Guardian introduces the lightweight standard wheelchair, it could attempt to emulate Invacare’s strategy. Senn rationalized that “Invacare was subsidizing its commodity lines with profits on wheelchairs” (McGahan p10). Furthermore, Chandler recalled that “he had recently been pressed by several large general HME dealers to provide discounts based on volume across Quickie’s and Guardian’s product lines” (McGahan p12). Fourth, with a 57% versus 13% share of 1993 revenue in the lightweight standard wheelchair category, if Guardian introduces the lightweight standard wheelchair, it would most probably affect Invacare. This is due to the differentiation in the lightweight standard wheelchairs and the end user between Quickie and Guardian. Coupled with the fact that the lightweight standard wheelchair category is expected to grow 15% annually as opposed to the 5% for the standard wheelchair category that Guardian is currently in, Chandler should try to reap the
benefits where possible. 2. Based on Porter’s Five Forces analysis of the wheelchair manufacturing industry, the threat of new entrants is high as the barriers to entry are relatively low. “Wheelchairs were manufactured in a labor-intensive cutting, bending, welding and assembly process. No competitor had a significant patent. Fully integrated manufacturing required a $1 million investment in machine tools” (McGahan p4). Furthermore, assemblers “could enter with only a $300,000 investment if they purchased prefabricated parts” (McGahan p4). The bargaining power of suppliers is relatively low. “Raw materials accounted for 70% to 80% of total manufacturing costs and consisted of commodities available from many suppliers” (McGahan p4). The bargaining power of buyers is relatively high. Since “seventy-five percent of wheelchairs in the U.S. were at least partially covered by insurance” (McGahan p2), many users replaced their wheelchairs every two to five years. Since Medicare was the hallmark insurance program in the U.S., other insurance carriers often followed its guidelines. As a result, for the standard and lightweight standard wheelchairs, the suggested retail prices reflect what Medicare reimburses its patients. For the more expensive wheelchairs, Medicare pays only what is “medically necessary” and the patient paid the difference. Furthermore, “discounts at the wholesale level were more common than retail discounts” (McGahan p2). “The wholesale price paid by the dealer to the wheelchair manufacturer was 60% of the suggested retail price. Large dealers negotiated additional discounts and paid as little as 42% to the manufacturer” (McGahan p2 and p3). The threat of substitute products or services is relatively low. Sunrise and Invacare sells similar products with little differentiation at similar prices. Both manufacture crutches and walkers that could be used as a substitute by some patients. However, the products do not have the relatively higher margin potential and usability compared to wheelchairs. Furthermore, it costs nothing to switch from one brand to the other. Rivalry among existing customers is relatively high. In the U.S., there are three major manufacturers. They are Everest & Jennings, Invacare, and Sunrise. Of these three manufacturers, “Everest & Jennings’ auditors indicated uncertainty about the viability of the firm as a going concern” (McGahan p5). Between Invacare and Sunrise, both offer similar discounts to wholesalers and have similar suggested retail prices, due to Medicare. As such, a huge factor for profits is the Cost of Goods Sold. Though the sales potential of 5% to 15% was high for new entrants, the cost aspect deters many from entering.
It is hard to live with disability, because everyday things become a challenge. U.S. Census Bureau report from 2008 states that 3.3 million non-institutionalized Americans over age 15 years use wheelchairs. The reason why there are so many people with disabilities is that U.S. spent decades at war. This is why mobility industry is rethinking the products it provides to support a growing demographic. Vantage Mobility International (VMI) and Braun Ability are two leading industry players that spent decades converting wheelchair vans from companies such as Chrysler , Toyota , and Honda into wheelchair-accessible modes of transportation.
Given the dominance and fiercely competitive nature of Wal-Mart and Target within the big box discount retail industry, Dollar General avoided competing head-to-head with these larger rivals by differentiating a classic generic bu...
Stephen has helped to shape society by connecting with able bodied people in an attempt to remove ‘stereotypical’ (Havard, 2014, p.76) values concerning wheelchair users. Stephen Sweetman’s experience provided firm examples of some of the ways in which connections and disconnections ‘produce differences and inequalities’ (Havard, 2014, p.79).
Willy, B. (2013). Gravity assisted seating: Prevention of wheelchair related falls in nursing homes. Gerinotes, 20(2), 8-10.
Moss, A. J. et al. Design and operation of the 2010 National Survey of Residential Care Facilities. Vital Health Stat. 1. 1–131 (2011). at
Long-term care (LTC) covers a wide range of clinical and social services for those who need assistance due to functional limitations. These limitations usually result from complications associated with age related chronic conditions, from disabilities related to birth defects, brain damage, or mental retardation in children; or from major illnesses or injuries suffered by adults (Shi L. & Singh D.A., 2011). LTC encompasses a variety of services including traditional clinical services, social services and housing. Unlike acute care, long-term care is much more complicated and has objectives that are much harder to measure. Acute care mainly focuses on returning patients to their previous functional level and is primarily provided by specialty providers. However, LTC mainly focuses on preventing the physical and mental deterioration of an individual and promoting social adjustments to suit the different stages of decline. In addition the providers of LTC are more diverse than those in acute care and is offered in both formal and informal settings, which include: hospitals, physicians, home care, adult day care, nursing home care, assisted living and even informal caregivers such as friends and family members. Long-term care services have been dominated by community based services, which include informal care (86%, about 10 to 11 million) and formal institutional care delivered in nursing facilities (14%, 1.6 million) (McCall, 2001). Of more than the 10 million Americans estimated to require LTC services, 58% are elderly and 42% are under the age of 65 (Shi L. & Singh D.A., 2011). The users of LTC are either frail elderly or disabled and because of the specific care needs of this population, the care varies based on an indiv...
Knight, K. E. (2011). Federally qualified health centers minimize the impact of loss of frequency and independence of movement in older adult patients through access to transportation services. Journal of Aging Research, 1-6. doi:10.4061/2011/898672
A nursing home is another form of care and this involves an elderly person moving from their home to a building full of all amentities necessary for living well. The only downside to nursing homes is that they are the most exepnsive alternative and that there is a large waiting list for getting into one. In 2010, the Ontario Health Quality council reported, “wait times for a long-term care bed in Ontario have tripled since 2005” (Born, 2011). A nursing home has become a last resort because of these reasons and we need to do everything in our power to alleviate the amount of demand for these nursing homes.
The elevators are wide so that many wheel chair can fit in and save a lot of trips from one floor to another, Also the button in the elevators are big and they are place lower down so it will be easy for wheel chair user to reach .
There are currently around 16 clubs across the UK; the sport is still a developing hence why there is one club in Scotland, two in Wales and thirteen in England, compared to 58 wheelchair basketball clubs in the West Midlands alone. At the 1996 Athens Paralympics Wheelchair Rugby was a demonstration sport and in 2000 at the Sydney Paralympic games, wheelchair rugby was first considered a full medal sport and has been ever since. Despite the growth of the sport one of the major barriers is the cost of the chairs. Rugby wheelchairs are specifically designed to withstand collisions and cost around £3,000 (Roma Sport) and according to UK Sport, elite wheelchair rugby players have to replace their chair around every 18 months. Whereas compared to wheelchair basketball the chairs cost around £1,000 to £2,000 (Roma Sport) I have chosen to examine wheelchair rugby, specifically Great Britain Wheelchair Rugby, as I play rugby myself and I am interested in how rugby has been developed into a disability sport. As well as the development of the sport and the development programs in place for
... ramp in the car that allows him to easily enter and exit the van. He also has tools that support his performance. The satchel on his wheelchair allows him to keep his phone, wallet, and keys intact. His electric wheelchair allows him to be mobile. Without these accessibilities, Sunshine’s engagement in many occupations would be not be successful. Although Sunshine’s inability to walk hinders his ability to participate in many occupations, his desire to be independent is what encourages him to actively participate in all of the areas of occupation.
...rs. This paper was just to give an overview of things that need to be looked for when deciding. Hopefully, one day we will find a new way to be able to provide the best care with the smallest expense, so no one will have to compromise with the health of elder loved ones because they cannot afford long- term care.
The purpose of The Americans with Disabilities Act (ADA) of 1990 was to protect the civil rights of disabled Americans, as well as put an end to discrimination, and to make adjustments to better accommodate the disabled. When presented to Congress, the Act surpassed party lines and gained support and popularity very quickly. While in theory the ADA seems revolutionary and helpful; in practice it presents the disabled with numerous problems, most of these arise in the form of red tape.
After spending about a year volunteering at the Veterans Affairs Medical Center and completing two field placements at local hospitals, I’ve found that my best work is done with the elderly population. These experiences have molded my personal goal to crusade for the civil rights of individuals with disabilities, especially those in the older generation. Additionally, I now have a better understanding of treatments and services that are provided to individuals with disabilities. Many patients at these hospitals were admitted due to an injury or life-threatening illness. There are millions of Americans with disabilities, yet feelings of helplessness, vulnerability, and depression are often evident, as if having a disability isn’t a common occurrence. In 2005, I was in a car accident, and it broke my pelvis, fractured my C1 vertebra and required emergency surgery to remove my spleen. I was unable to sit up or get out of bed for about 2 months and was re...
With the elderly population growing from 45 million to 65 million in the next year according to Jennifer Ortman. “Between 2012 and 2050, the U.S. population is projected to grow from 314 million in 2012 to 400 million in 2050, an increase of 27 percent” (Ortman). Clearly, this many people will need to be kept healthy and happy. One way to ensure this is to make sure that every nursing home institutes physical therapy and movement. This will greatly improve the residents of the futures mental and physical health and keep them strong to prevent future