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I have used the Lumex padded raised toilet seat cushions in the past. Had no issues with those except the older models with the vinyl cover would crack on me in a few years. I switched to the ActiveAid to see if their material was any better. Unfortunately, that material cracked on me, in the sacrum area, after 4 years of everyday use. Might just be because of my bodytype or bony prominence since I am L1 complete and do have a bony bottom area. I have always had to use overfill cushions for my Ischialls so, I may be the exception here. However, this seat is sturdy. Easy to clean. And it can be moved from the toilet to a closet in seconds. Good amount of adjustability for the height too. I will stick with this seat for the time being. Although, I personally think this product is overpriced. Not necessarily by SportAid but by the manufacturer. But, doesn't it seem like most of the shower/toilet products are? I pay for these items out of pocket because I have privat...