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There is no way every home will ever be able to afford a NuStep at $3600 and up. I am disabled and use them in physical therapy and at the YMCA, and would love one for home use. But most elderly and/or disabled people are on limited incomes and will never be able to purchase such an expensive item. Also the ones being sold to hospital, physical therapy centers and gyms are made to be used around the clock and need all the various settings to accommodate people of all sizes and disabilities. There is no reason for a home machine for one or even a few people to be built of steel and have all the bells and whistles. My neighbor paid $3000 for a used one, and even that is preposterous for most people for an exercise machine. I have bad knees as well as fibromyalgia. The stepping, as opposed to circular pedaling motion of the NuStep makes it possible for me to exercise without doing further damage to my arthritic knees. It is more accurately called a recumbent stepper than a recumbent bicycle. Also, aerobic exercise is one of the most beneficial things for people with fibromyalgia, but between the pain from that plus my