Raising the Bar While Shortening the Pole: The Conflict of Requiring "Stability, Ease of Movement, Energy Efficiency and a Natural Gait" With a Limited Device

The proposed LCD raises the required standards for the beneficiary while restricting the prosthesis they can use to attain these standards to basic, antiquated technology. The duality of these changes, creating new performance standards while restricting prosthetic resources to the minimum available technology would create a paradigm in which many amputees would be unable to attain their full functional capacity.