I already pay 100% out of pocket for the Dexcom system. It’s already extremely expensive ($700 for the receiver, $800 for the transmitter, and $85 per sensor, which I stretch over three weeks). I put up with a lot of ??? and no directional arrows (which I find kind of useless, so I don’t miss those) when sensors get into their third week.
I’m worried about rumours I’ve heard that the G5 transmitter will have a three-month warranty instead of a six-month warranty due to the battery dying faster, which would increase the cost considerably. I’m also worried that Dexcom may eventually find some way of “making” their sensors die at the end of a week so that the user is forced to spend more (or else they would make the sensors more expensive if they increased the wear time to two weeks). I love having my CGM enough that I’m willing to continue paying for it indefinitely at its current price, if I need to. But if it became much more expensive than it currently is (e.g., if I actually had to pay $85 a week for sensors) I wouldn’t be able to afford it, although I’d try to keep up.
There is no way I would pay more money for a sensor that’s a little smaller. I get a little sick of people (Diabetes Mine, mostly) complaining that pumps or CGMs are “bulky” and “ugly” and need aesthetic improvements. Improvement to the algorithms or accuracy, sure—but I couldn’t care less about the asthetics of devices that are already like science fiction come to life compared to 20 years ago.
The only things I’d be willing to pay more money for (assuming I could afford it) would be a device with a lot more features (multiple high and low alerts, a “back in zone” tone, an alert for when BG crossed a set point, an alert when BG has drifted up or down X number of points in Y amount of time, the ability to view statistics on the device itself) and more accuracy; or else a device that’s actually accessible to users with visual impairments and doesn’t require us to use all sorts of random work-arounds, sometimes to gain marginal access to only a few basic features.